Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04225 | Date 15/03/2019 |
| Token No | SM/18-19/10574 15/03/2019 | Serial | 067 Last Visit: 18/08/2021 |
| Patient Name | Mrs. SAKILA BANU | Contact No | 6290779799 |
| Address | PAMPA NAGAR TETUL TALA , BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||