Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09089 | Date 22/12/2020 |
| Token No | SM/20-21/28783 26/12/2020 | Serial | 019 Last Visit: 26/12/2020 |
| Patient Name | Mrs. APARNA CHOWDHURY | Contact No | 9331963144 |
| Address | 62/A/1 G T ROAD CHATRA TENTULTALA, BAIDYABATI(M) | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||