Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06005 | Date 30/07/2019 |
| Token No | SM/19-20/7570 30/07/2019 | Serial | 019 Last Visit: 30/07/2019 |
| Patient Name | Mrs. TANUSHREE DAS | Contact No | 8479823861 |
| Address | MANIPUR NAL PARA , MANIPUR JUNIOR HIGH SCHOOL SANDESHKHALI MANIPUR, NORTH 24 PARAGANAS | Age | 29 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||