Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03467 | Date 08/02/2019 |
| Token No | SM/20-21/29972 01/02/2021 | Serial | 036 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 | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||