Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08608 | Date 30/07/2020 |
| Token No | SM/19-20/24625 30/07/2020 | Serial | 035 Last Visit: 30/07/2020 |
| Patient Name | Mrs. PHALGUNI GUCHHAIT | Contact No | 9007802457 |
| Address | 68 RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||