Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09002 | Date 27/11/2020 |
| Token No | SM/20-21/27871 27/11/2020 | Serial | 027 Last Visit: 12/03/2021 |
| Patient Name | Miss PALLABI MONDAL | Contact No | 9143639507 |
| Address | 132/3 RAMKRISNA ROAD CHATRA,BAIDYABATI(M) | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||