Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09305 | Date 09/03/2021 |
| Token No | SM/20-21/30545 09/03/2021 | Serial | 020 Last Visit: 03/11/2023 |
| Patient Name | Mrs. ARATI BANIK | Contact No | 8100948810 |
| Address | 208/C G T ROAD CHATRA BAIDYABATI (M) | Age | 55 Years,10 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||