Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08047 | Date 08/04/2020 |
| Token No | SM/19-20/20944 09/04/2020 | Serial | 022 Last Visit: 13/04/2020 |
| Patient Name | Mrs. PURNIMA KUNDU | Contact No | 7980956019 |
| Address | 14/31 SHIBTALA LANE SEORAPHULI BAIDYABATI M | Age | 34 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||