Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09158 | Date 11/01/2021 |
| Token No | SM/20-21/29270 11/01/2021 | Serial | 032 Last Visit: 11/01/2021 |
| Patient Name | Mrs. SUSMITA BISWAS | Contact No | 8013530769 |
| Address | PAMPANAGER,G.T. ROAD,BAIDYABATI(M) | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||