Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08034 | Date 06/04/2020 |
| Token No | SM/19-20/20820 06/04/2020 | Serial | 071 Last Visit: 07/04/2020 |
| Patient Name | Mrs. DALI DEY | Contact No | 9830575996 |
| Address | 140/78/1/C CHATRA BAGHER BAGAN,BAIDYABATI(M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||