Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06642 | Date 15/10/2019 |
| Token No | SM/19-20/11751 15/10/2019 | Serial | 029 Last Visit: 06/11/2020 |
| Patient Name | Mrs. ANU SAHA | Contact No | 7890894950 |
| Address | 251 CHATRA BOU BAZAR ,BAIDYABATI (M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||