Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08177 | Date 30/04/2020 |
| Token No | SM/19-20/21760 30/04/2020 | Serial | 044 Last Visit: 30/04/2020 |
| Patient Name | Mrs. SUBHADRA CHAKRABORTY | Contact No | 9883654062 |
| Address | 23 BARABAGAN LANE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||