Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08923 | Date 02/11/2020 |
| Token No | SM/20-21/27031 02/11/2020 | Serial | 026 Last Visit: 02/11/2020 |
| Patient Name | Mrs. PANCHA BALA MONDAL | Contact No | |
| Address | SHITLATALA JAL TANK , BAIDYABATI (M) | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||