Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09285 | Date 05/03/2021 |
| Token No | SM/20-21/30413 05/03/2021 | Serial | 035 Last Visit: 21/03/2022 |
| Patient Name | Mrs. SAHAJA BIBI | Contact No | 9123617894 |
| Address | 61/A/1 GODAR BAGAN BYE LANE,BAIDYABATI(M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||