Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 05617 | Date 29/06/2019 |
| Token No | SM/19-20/5575 29/06/2019 | Serial | 008 Last Visit: 29/06/2019 |
| Patient Name | Mrs. SUJATA BAIDYA | Contact No | 7890622883 |
| Address | 542/148/Y/ RAM MOHAN SARANI, BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||