Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03509 | Date 12/02/2019 |
| Token No | SM/18-19/8461 12/02/2019 | Serial | 065 Last Visit: 25/02/2019 |
| Patient Name | Mrs. SAGARIKA CHATERJEE | Contact No | 9231906984 |
| Address | 4 KHALDHAR LANE SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||