Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08834 | Date 08/10/2020 |
| Token No | SM/20-21/27206 05/11/2020 | Serial | 067 Last Visit: 05/11/2020 |
| Patient Name | Mrs. KANAN NATH | Contact No | 7605875535 |
| Address | TELIPARA BAGER BAGAN, BAIDYABATI (M), CHATRA, HOOGHLY-712204 | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||