Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07583 | Date 19/02/2020 |
| Token No | SM/19-20/18369 19/02/2020 | Serial | 030 Last Visit: 19/02/2020 |
| Patient Name | Mrs. MADHABI MONDAL | Contact No | 7044682668 |
| Address | 47/A G. T. ROAD,BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||