Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09052 | Date 14/12/2020 |
| Token No | SM/20-21/28386 14/12/2020 | Serial | 040 Last Visit: 16/12/2020 |
| Patient Name | Mrs. ANJALI PAL | Contact No | 9883850194 |
| Address | 131 (62) G T ROAD , BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||