Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09317 | Date 13/03/2021 |
| Token No | SM/22-23/18393 29/11/2022 | Serial | 036 Last Visit: 04/03/2023 |
| Patient Name | Mrs. MADHUMITA CHOWDHURY | Contact No | 9674948730 |
| Address | CHARABAGAN , BAIDYABATI(M) | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||