Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08132 | Date 23/04/2020 |
| Token No | SM/19-20/21462 23/04/2020 | Serial | 009 Last Visit: 05/05/2020 |
| Patient Name | Mrs. ARPITA MONDAL | Contact No | 9831189781 |
| Address | 16 K/4 BORO BAGAN LANE, | Age | 20 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||