Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05951 | Date 25/07/2019 |
| Token No | SM/19-20/7288 25/07/2019 | Serial | 041 Last Visit: 27/07/2020 |
| Patient Name | Mrs. SANDHYA DAS | Contact No | 9748798525 |
| Address | 37 HARIJAN ROAD , BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||