Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07184 | Date 18/12/2019 |
| Token No | SM/19-20/15564 18/12/2019 | Serial | 074 Last Visit: 16/09/2021 |
| Patient Name | Mrs. SHANTI MONDAL | Contact No | 9800912399 |
| Address | CHATRA BAGER BAGAN, BAIDYABATI(M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||