Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03845 | Date 23/02/2019 |
| Token No | SM/18-19/11653 30/03/2019 | Serial | 068 Last Visit: 13/03/2020 |
| Patient Name | Mrs. JHUMA NASKER | Contact No | 7003131791 |
| Address | 11/G /A MANIK GHOSHER BAGAN,TETUL TALA,BAIDYABATI(M) | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||