Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07937 | Date 26/03/2020 |
| Token No | SM/19-20/20339 26/03/2020 | Serial | 051 Last Visit: 06/10/2020 |
| Patient Name | Mrs. MITALI HALDER | Contact No | 8910269925 |
| Address | TELIPARA CHATRA,BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||