Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09279 | Date 04/03/2021 |
| Token No | SM/21-22/779 23/04/2021 | Serial | 032 Last Visit: 22/06/2021 |
| Patient Name | Mrs. BABEY GHOSH | Contact No | 8820897616 |
| Address | BOBAGAN,SHIVE TALA,BAIDYABATI(M) | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||