Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09080 | Date 21/12/2020 |
| Token No | SM/20-21/29700 22/01/2021 | Serial | 055 Last Visit: 22/01/2021 |
| Patient Name | Miss TAPATI BAG | Contact No | 7687925389 |
| Address | 34(11/B) G.T ROAD BAIDYABATI M | Age | 33 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||