Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08104 | Date 18/04/2020 |
| Token No | SM/19-20/21294 18/04/2020 | Serial | 003 Last Visit: 25/04/2020 |
| Patient Name | Mrs. SHYAMA SAHA | Contact No | 9903137433 |
| Address | 134/2/L/D TELIPARA BAGER BAGAN BAIDYABATI M | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||