Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06218 | Date 26/08/2019 |
| Token No | SM/19-20/9102 26/08/2019 | Serial | 018 Last Visit: 22/12/2022 |
| Patient Name | Mrs. KAMINI MIDDEY | Contact No | 8777253744 |
| Address | 131/A TELIPARA BAGER BAGAN , BAIDYABATI(M) | Age | 53 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||