Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08152 | Date 27/04/2020 |
| Token No | SM/19-20/21577 27/04/2020 | Serial | 004 Last Visit: 27/04/2020 |
| Patient Name | Mrs. SUMITRA BANIK | Contact No | 8961628108 |
| Address | 208/C G. T. ROAD,BAIIDYABATI(M) | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||