Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01281 | Date 24/09/2018 |
| Token No | SM/20-21/29614 21/01/2021 | Serial | 034 Last Visit: 21/01/2021 |
| Patient Name | Mrs. ANIMA MUKHARJEE | Contact No | 9883266437 |
| Address | CHATRA SHITALA TALA | Age | 55 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||