Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06632 | Date 14/10/2019 |
| Token No | SM/19-20/11691 14/10/2019 | Serial | 085 Last Visit: 21/02/2022 |
| Patient Name | Mrs. BELA MONDAL | Contact No | 9748741296 |
| Address | 12 SHIBTALA BYE LANE,BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||