Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07205 | Date 21/12/2019 |
| Token No | SM/19-20/21412 21/04/2020 | Serial | 024 Last Visit: 21/04/2020 |
| Patient Name | Miss PIYALI PAL | Contact No | 7059677180 |
| Address | 90/B G.T ROAD , BAIDYABATI(M) | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||