Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03359 | Date 04/02/2019 |
| Token No | SM/20-21/26159 30/09/2020 | Serial | 013 Last Visit: 30/09/2020 |
| Patient Name | Miss NEHA DAS | Contact No | 9163566934 |
| Address | 301/J/A/E CHATRA BAGER BAGAN,BAIDYABATI(M) | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||