Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08556 | Date 17/07/2020 |
| Token No | SM/19-20/24194 17/07/2020 | Serial | 045 Last Visit: 30/07/2020 |
| Patient Name | Mrs. GOPA SANTRA | Contact No | 7044726628 |
| Address | 56/B G T ROAD CHATRA , BAIDYABATI(M) | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||