Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04640 | Date 09/04/2019 |
| Token No | SM/19-20/573 09/04/2019 | Serial | 027 Last Visit: 09/04/2019 |
| Patient Name | Mrs. PRATIMA MONDOL | Contact No | |
| Address | CHATRA KUMER BAGAN,SHITALA TALA,BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/94 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||