Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09277 | Date 04/03/2021 |
| Token No | SM/20-21/30332 04/03/2021 | Serial | 008 Last Visit: 04/03/2021 |
| Patient Name | Mrs. RAMA PAUL | Contact No | 9007181980 |
| Address | 146 G.T. ROAD ,BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||