Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05529 | Date 22/06/2019 |
| Token No | SM/19-20/5113 22/06/2019 | Serial | 074 Last Visit: 22/06/2019 |
| Patient Name | Mrs. CHANDANA PARUI | Contact No | 9330987929 |
| Address | CHATRA LANKAR BAGAN , BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||