Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08507 | Date 08/07/2020 |
| Token No | SM/19-20/23898 08/07/2020 | Serial | 012 Last Visit: 06/03/2023 |
| Patient Name | Mrs. SUKHI RANI GHOSH | Contact No | 9230347954 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 36YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||