Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08215 | Date 04/05/2020 |
| Token No | SM/19-20/21917 04/05/2020 | Serial | 061 Last Visit: 04/05/2020 |
| Patient Name | Mrs. PARUL RUI DAS | Contact No | 7890749540 |
| Address | 107 TELEPARA,BAGHER BAGAN, BAIDYABATI(M) | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||