Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07749 | Date 11/03/2020 |
| Token No | SM/19-20/19394 11/03/2020 | Serial | 057 Last Visit: 09/07/2021 |
| Patient Name | Mrs. RIMA MONDAL | Contact No | 7687057592 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||