Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07393 | Date 22/01/2020 |
| Token No | SM/19-20/17026 22/01/2020 | Serial | 007 Last Visit: 27/01/2020 |
| Patient Name | Mrs. BANDANA DAS | Contact No | 9339205200 |
| Address | 65 TELIPARA , BAIDYABATI(M) | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||