Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07343 | Date 14/01/2020 |
| Token No | SM/19-20/16709 14/01/2020 | Serial | 038 Last Visit: 02/09/2020 |
| Patient Name | Mrs. ALPANA PAL | Contact No | 8013443630 |
| Address | 151/46/1 G.T.ROAD,BAIDYABATI(M) | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||