Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06459 | Date 18/09/2019 |
| Token No | SM/19-20/11274 27/09/2019 | Serial | 085 Last Visit: 27/09/2019 |
| Patient Name | Mrs. TAPASHI GHOSH | Contact No | 9331598751 |
| Address | 29 CHAKRABORTY LANE SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||