Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09057 | Date 16/12/2020 |
| Token No | SM/20-21/28488 16/12/2020 | Serial | 021 Last Visit: 16/12/2020 |
| Patient Name | Mrs. ANILA GHOSH | Contact No | 9339372572 |
| Address | 298 G T ROAD CHATRA, BAIDYABATI(M) | Age | 69 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||