Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03467 | Date 08/02/2019 |
| Token No | SM/19-20/8292 10/08/2019 | Serial | 013 Last Visit: 04/02/2021 |
| Patient Name | Miss PUJA DAS | Contact No | 8647908264 |
| Address | CHATRA,SHITALA TALA,BAIDYABATI(M) | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||