Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06865 | Date 14/11/2019 |
| Token No | SM/19-20/13263 14/11/2019 | Serial | 090 Last Visit: 14/11/2019 |
| Patient Name | Mrs. RUNU CHATTERJEE | Contact No | 8910403738 |
| Address | 8 EDOCTOR BAGAN LANE SERAMPORE | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||