Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05927 | Date 24/07/2019 |
| Token No | SM/19-20/7205 24/07/2019 | Serial | 047 Last Visit: 24/07/2019 |
| Patient Name | Miss ANUSREE LAHA | Contact No | 7890635304 |
| Address | 282/65/1 CHATRA TELI PARA, BAIDYABTI(M) | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||