Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05452 | Date 15/06/2019 |
| Token No | SM/20-21/28724 24/12/2020 | Serial | 007 Last Visit: 23/09/2021 |
| Patient Name | Mrs. RINA HALDAR | Contact No | 6291949946 |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||