Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08777 | Date 25/09/2020 |
| Token No | SM/20-21/26162 30/09/2020 | Serial | 016 Last Visit: 24/08/2021 |
| Patient Name | Mrs. ARUNA PAUL | Contact No | 8961033812 |
| Address | 152, G T ROAD BOWBAZAR , BAIDYABATI | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||