Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06654 | Date 16/10/2019 |
| Token No | SM/19-20/13436 18/11/2019 | Serial | 011 Last Visit: 31/12/2021 |
| Patient Name | Mrs. KAJAL CHOWDHURY | Contact No | 7044154663 |
| Address | 349/17/A TELI PARA LANE , BAIDYABATI(M) | Age | 42YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||