Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09304 | Date 09/03/2021 |
| Token No | SM/20-21/30540 09/03/2021 | Serial | 015 Last Visit: 09/03/2021 |
| Patient Name | Mrs. MINA BHADURI | Contact No | 9230219337 |
| Address | 9/1 GOILA PARA LANE CHATRA BOU BAZAR, BAIDYABATI(M) | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||