Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08945 | Date 07/11/2020 |
| Token No | SM/20-21/27291 07/11/2020 | Serial | 024 Last Visit: 07/11/2020 |
| Patient Name | Miss FATEMA KHATOON | Contact No | 6289747456 |
| Address | G T ROAD PAMPANAGAR BAIDYABATI M | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||