Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01561 | Date 06/10/2018 |
| Token No | SM/20-21/30786 16/03/2021 | Serial | 024 Last Visit: 28/07/2021 |
| Patient Name | Mrs. RINA MONDAL | Contact No | 9804244619 |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||