Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02907 | Date 08/01/2019 |
| Token No | SM/19-20/13643 20/11/2019 | Serial | 052 Last Visit: 27/03/2020 |
| Patient Name | Mrs. SONALI BENERJEE | Contact No | 9748164457 |
| Address | 1CHATRA CHAKRABORTY LANE | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||