Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07705 | Date 04/03/2020 |
| Token No | SM/19-20/19096 04/03/2020 | Serial | 070 Last Visit: 04/09/2020 |
| Patient Name | Mrs. SARMISTHA BISWAS | Contact No | 6290139826 |
| Address | BAGER BAGAN KALCHARAL MATH , BAIDYABATI(M) | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||