Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03254 | Date 31/01/2019 |
| Token No | SM/19-20/20717 03/04/2020 | Serial | 048 Last Visit: 03/04/2020 |
| Patient Name | Mrs. REKHA HALDER | Contact No | 9674039044 |
| Address | BAGER BAGAN,BAIDYABATY(M) | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||