Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06054 | Date 05/08/2019 |
| Token No | SM/19-20/8238 09/08/2019 | Serial | 045 Last Visit: 03/09/2019 |
| Patient Name | Mrs. PRATIMA DAS | Contact No | 9073557418 |
| Address | 68T CHATERJEE PARA SHEWRAPHULI, BAIDYABATI(M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||