Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04685 | Date 12/04/2019 |
| Token No | SM/19-20/806 12/04/2019 | Serial | 043 Last Visit: 12/04/2019 |
| Patient Name | Mrs. SANTI LATA GHOSH | Contact No | |
| Address | BAIDYAPRA , BAIDYABATI(M) | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||