Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10248 | Date 29/10/2021 |
| Token No | SM/21-22/6383 29/10/2021 | Serial | 011 Last Visit: 29/10/2021 |
| Patient Name | Mrs. ASHTI DAS | Contact No | 7595982464 |
| Address | CHATRA,BAGHER BAGAN,BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||