Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09419 | Date 03/04/2021 |
| Token No | SM/21-22/61 03/04/2021 | Serial | 014 Last Visit: 03/04/2021 |
| Patient Name | Mrs. SHEFALI DAS | Contact No | 6291949946 |
| Address | TALIPARA BAGER BAGAN BAIDHYABATI | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||