Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08776 | Date 24/09/2020 |
| Token No | SM/20-21/26831 19/10/2020 | Serial | 042 Last Visit: 19/10/2020 |
| Patient Name | Mrs. SUJATA HALDER | Contact No | 9038317290 |
| Address | 134/B TELI PARA LANE, BAIDYABATI(M) | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||