Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08821 | Date 05/10/2020 |
| Token No | SM/20-21/31137 24/03/2021 | Serial | 026 Last Visit: 06/07/2021 |
| Patient Name | Mrs. MALLIKA BERA | Contact No | 7890235924 |
| Address | 1/C/A D N MUKHERJEE ROAD,BAIDYABATI(M) | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||