Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01966 | Date 14/11/2018 |
| Token No | SM/18-19/3689 14/11/2018 | Serial | 078 Last Visit: 02/07/2022 |
| Patient Name | Mrs. SIKHA MONDAL | Contact No | 9804244619 |
| Address | CHATRA BAGHER BAGAN,BAIDYABATI(M) | Age | 27YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||