Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09095 | Date 26/12/2020 |
| Token No | SM/21-22/2099 10/06/2021 | Serial | 006 Last Visit: 10/06/2021 |
| Patient Name | Miss MADHUSHREE OJHA | Contact No | 6290285627 |
| Address | 40 GOALA PARA LANE , BAIDYABATI(M) | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||