Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04643 | Date 09/04/2019 |
| Token No | SM/19-20/581 09/04/2019 | Serial | 035 Last Visit: 09/04/2019 |
| Patient Name | Mrs. SARATHI SASMAL | Contact No | 8910330509 |
| Address | 7/349 I .G. T ROAD,BAIDYABATI(M) | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||