Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08984 | Date 23/11/2020 |
| Token No | SM/20-21/28383 14/12/2020 | Serial | 037 Last Visit: 02/11/2021 |
| Patient Name | Mrs. SHANKARI MONDAL | Contact No | 6290303367 |
| Address | 195,G.T ROAD KUMAR BAGAN BAIDHYABATI | Age | 72 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||