Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07788 | Date 14/03/2020 |
| Token No | SM/19-20/19627 14/03/2020 | Serial | 030 Last Visit: 30/03/2020 |
| Patient Name | Mrs. NOORJAHAN | Contact No | 7450049984 |
| Address | PAMPANAGAR , BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||