Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08218 | Date 05/05/2020 |
| Token No | SM/19-20/21938 05/05/2020 | Serial | 019 Last Visit: 05/05/2020 |
| Patient Name | Mrs. SAGORIKA ADHIKARY | Contact No | 7998662374 |
| Address | 10/A/T G. T. ROAD,GODER BAGAN BYE LANE,,BAIDYABATI)M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||