Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09033 | Date 07/12/2020 |
| Token No | SM/20-21/28474 16/12/2020 | Serial | 007 Last Visit: 12/07/2022 |
| Patient Name | Mrs. ARUNA PATRA | Contact No | 8910935843 |
| Address | 29/4 BARO BAGAN LANE SERAMPORE MALLICKPARA | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||