Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04359 | Date 25/03/2019 |
| Token No | SM/19-20/641 10/04/2019 | Serial | 007 Last Visit: 02/12/2019 |
| Patient Name | Mrs. SUBATRA DAS | Contact No | 9062785119 |
| Address | CHATRA LANKAR BAGAN , BAIDYABATI(M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||