Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05980 | Date 27/07/2019 |
| Token No | SM/20-21/27623 18/11/2020 | Serial | 045 Last Visit: 27/11/2020 |
| Patient Name | Mrs. NANDARANI PAUL | Contact No | 9748122278 |
| Address | 217 (18/J) G.T ROAD BAGER BAGAN , BAIDYABATI(M) | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||