Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08146 | Date 25/04/2020 |
| Token No | SM/19-20/21550 25/04/2020 | Serial | 002 Last Visit: 27/04/2020 |
| Patient Name | Mrs. SUMITRA DAS | Contact No | 9830036720 |
| Address | 2 DOCTOR BAGAN LANE SERAMPORE MALLICKPARA | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||