Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08868 | Date 15/10/2020 |
| Token No | SM/20-21/26674 15/10/2020 | Serial | 017 Last Visit: 13/03/2021 |
| Patient Name | Mrs. PRIYANKA BAG | Contact No | 8272930441 |
| Address | BAGHER BAGAN,BAIDYABATI(M) | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||