Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05619 | Date 29/06/2019 |
| Token No | SM/19-20/5583 29/06/2019 | Serial | 016 Last Visit: 12/10/2020 |
| Patient Name | Mrs. APARNA LAHA | Contact No | 8017372503 |
| Address | 282/65/1 CATRA TELI PARA , BAIDYABATI(M) | Age | 48 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||