Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07845 | Date 18/03/2020 |
| Token No | SM/20-21/26167 30/09/2020 | Serial | 021 Last Visit: 30/09/2020 |
| Patient Name | Mrs. SAKINA BIBI | Contact No | 8017346863 |
| Address | KHANDAKAR PARA , BAIDYABATI(M) | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||