Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09001 | Date 26/11/2020 |
| Token No | SM/20-21/27843 26/11/2020 | Serial | 044 Last Visit: 26/11/2020 |
| Patient Name | Mrs. SONALI GHOSH | Contact No | |
| Address | 4 PAMPA NAGAR MARADAN , BAIDYABATI(M) | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||