Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00852 | Date 31/08/2018 |
| Token No | SM/20-21/30707 15/03/2021 | Serial | 019 Last Visit: 21/06/2021 |
| Patient Name | Mrs. MINARANI KUNDU | Contact No | 9007746625 |
| Address | 473(312) G T ROAD , BAIDYABATI (M) | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||