Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08020 | Date 06/04/2020 |
| Token No | SM/19-20/20770 06/04/2020 | Serial | 021 Last Visit: 06/04/2020 |
| Patient Name | Mrs. KAKOLI BISWAS | Contact No | 8334884261 |
| Address | 24/B J.T ROAD GODER BAGAN BYE LANE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||