Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08144 | Date 24/04/2020 |
| Token No | SM/19-20/21534 24/04/2020 | Serial | 026 Last Visit: 24/04/2020 |
| Patient Name | Mrs. CHANDANA BENARJEE | Contact No | 8013457945 |
| Address | 151/2 CHATRA SITALATALA ROAD BAIDYABATI M | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||