Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07395 | Date 22/01/2020 |
| Token No | SM/21-22/1267 10/05/2021 | Serial | 015 Last Visit: 10/05/2021 |
| Patient Name | Mrs. SONA GUIN | Contact No | 8481864313 |
| Address | 11/A SHITALATALA ROAD CHATRA BAIDYABATI(M) | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||