Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08151 | Date 25/04/2020 |
| Token No | SM/21-22/6442 30/10/2021 | Serial | 011 Last Visit: 30/10/2021 |
| Patient Name | Mrs. TAPASHI SHUBHARA ROY | Contact No | 9903170770 |
| Address | 289/QA RAMKRISHNA ROAD BAIDYABATI M | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||