Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07836 | Date 18/03/2020 |
| Token No | SM/19-20/19852 18/03/2020 | Serial | 026 Last Visit: 18/03/2020 |
| Patient Name | Mrs. SABITA SAHA | Contact No | |
| Address | 214/81/U G. T. ROAD,BAIDYABATI(M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||