Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09580 | Date 04/05/2021 |
| Token No | SM/21-22/2466 23/06/2021 | Serial | 020 Last Visit: 20/04/2022 |
| Patient Name | Mrs. KARUNA MALIK | Contact No | 8274009881 |
| Address | G. T. ROAD,BAIDYABATI(M) | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||