Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08186 | Date 30/04/2020 |
| Token No | SM/19-20/21784 30/04/2020 | Serial | 068 Last Visit: 30/04/2020 |
| Patient Name | Mrs. SAKINA BIBI | Contact No | 6290946483 |
| Address | 68/B/2 MALLICK PARA LANE,BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||