Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08145 | Date 24/04/2020 |
| Token No | SM/21-22/5742 04/10/2021 | Serial | 063 Last Visit: 09/12/2021 |
| Patient Name | Miss SOUMITA MUKHERJEE | Contact No | 9903843029 |
| Address | 297 TELIPARA 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 | |||