Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07899 | Date 24/03/2020 |
| Token No | SM/19-20/20473 30/03/2020 | Serial | 024 Last Visit: 29/07/2024 |
| Patient Name | Miss ANITA DAS | Contact No | 6289055471 |
| Address | 31/A BARA BAGAN LANE, | Age | 18 Years,8 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||