Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05573 | Date 25/06/2019 |
| Token No | SM/19-20/5336 25/06/2019 | Serial | 092 Last Visit: 21/10/2019 |
| Patient Name | Mrs. SAGARIKA MONDAL | Contact No | 9804445876 |
| Address | 38/39 2 CHATRA TETULTALA , BAIDYABATI(M) | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||