Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08114 | Date 20/04/2020 |
| Token No | SM/21-22/5044 13/09/2021 | Serial | 034 Last Visit: 13/09/2021 |
| Patient Name | Mrs. SOMA SANTRA | Contact No | 9433256296 |
| Address | 13/12 KALITALA LANE,BAIDYABATI(M) | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||