Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07469 | Date 03/02/2020 |
| Token No | SM/19-20/17561 03/02/2020 | Serial | 091 Last Visit: 03/02/2020 |
| Patient Name | Mrs. MOUSUMI MONDAL | Contact No | 8420843440 |
| Address | 116 TELIPARA ,BAGER BAGAN,BAIDYABATI(M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||