Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09186 | Date 18/01/2021 |
| Token No | SM/20-21/29486 18/01/2021 | Serial | 037 Last Visit: 01/03/2021 |
| Patient Name | Mrs. TUNA DEVI | Contact No | 6289351822 |
| Address | 219 (73/B/J), RAMKRISHNA ROAD BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||