Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06332 | Date 04/09/2019 |
| Token No | SM/19-20/9791 04/09/2019 | Serial | 022 Last Visit: 04/09/2019 |
| Patient Name | Mrs. LIPIKA GHOSH | Contact No | 9231126141 |
| Address | 50/A CHATRA MANA PARA , BAIDYABATI() | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||