Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06210 | Date 24/08/2019 |
| Token No | SM/19-20/9033 24/08/2019 | Serial | 010 Last Visit: 24/08/2019 |
| Patient Name | Mrs. BHABANI BISWAS | Contact No | 9088970250 |
| Address | 103 G.T ROAD CHATRA , BAIDYABATI(M) | Age | 69 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||