Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08987 | Date 24/11/2020 |
| Token No | SM/20-21/28568 18/12/2020 | Serial | 016 Last Visit: 12/03/2021 |
| Patient Name | Mrs. KAKULI MONDAL | Contact No | 8478967376 |
| Address | 132/3 RAM KRISHNA 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 | |||