Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05950 | Date 25/07/2019 |
| Token No | SM/19-20/7287 25/07/2019 | Serial | 040 Last Visit: 25/07/2019 |
| Patient Name | Mrs. TAPASI ADHIKARI | Contact No | 8420721410 |
| Address | 58/88 SCM ROAD , BAIDYABATI(M) | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||