Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07345 | Date 16/01/2020 |
| Token No | SM/19-20/16735 16/01/2020 | Serial | 014 Last Visit: 16/01/2020 |
| Patient Name | Mrs. TARARANI DAS | Contact No | 9330374084 |
| Address | 103 G T ROAD,BAGHER BAGAN,BAIDYABATI(M) | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||