Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08715 | Date 08/09/2020 |
| Token No | SM/20-21/25703 15/09/2020 | Serial | 028 Last Visit: 03/04/2024 |
| Patient Name | Mrs. ASHA YADAV | Contact No | 7278492209 |
| Address | TELI PARA BAGER BAGAN BAIDYABATI(M) | Age | 59 Years,3 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||