Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09964 | Date 19/08/2021 |
| Token No | SM/21-22/4215 19/08/2021 | Serial | 021 Last Visit: 19/08/2021 |
| Patient Name | Mrs. ARATI BENERJEE | Contact No | 9830741746 |
| Address | 134 TELIPARA,BAGHER BAGAN,BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||