Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09022 | Date 04/12/2020 |
| Token No | SM/20-21/28095 04/12/2020 | Serial | 046 Last Visit: 04/12/2020 |
| Patient Name | Mrs. CHHAYA KARMAKAR | Contact No | 9143063120 |
| Address | DEY PARA PAHALAMPUR , SINGUR | Age | 49 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||