Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03038 | Date 17/01/2019 |
| Token No | SM/19-20/25010 19/08/2020 | Serial | 022 Last Visit: 25/09/2020 |
| Patient Name | Mrs. KALPANA NASKAR | Contact No | 7686890927 |
| Address | GODAR BAGAN BY LANE , BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||