Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03829 | Date 23/02/2019 |
| Token No | SM/20-21/28076 04/12/2020 | Serial | 027 Last Visit: 01/03/2021 |
| Patient Name | Mrs. PINKI DAS | Contact No | 6289644175 |
| Address | 16/B CHAWK BAGDIPARA , BAIDYABATI(M) | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||