Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08322 | Date 09/06/2020 |
| Token No | SM/19-20/23162 16/06/2020 | Serial | 033 Last Visit: 31/01/2022 |
| Patient Name | Mrs. AMIRUN NISA | Contact No | |
| Address | 20/D MARADAN PAMPANAGAR, BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||