Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05868 | Date 20/07/2019 |
| Token No | SM/19-20/6956 20/07/2019 | Serial | 059 Last Visit: 09/12/2020 |
| Patient Name | Mrs. ASHALATA DAS | Contact No | 6291458032 |
| Address | SATCHASI PARA,BAIDYABATI(M) | Age | 85 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||