Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02251 | Date 30/11/2018 |
| Token No | SM/18-19/7863 02/02/2019 | Serial | 052 Last Visit: 20/07/2020 |
| Patient Name | Mrs. BANDANA BENERJEE | Contact No | 8282810515 |
| Address | 301 V TELI PARA BOU BAZAR,BAIDAYBATY(M) | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||