Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04676 | Date 12/04/2019 |
| Token No | SM/19-20/1429 23/04/2019 | Serial | 010 Last Visit: 08/04/2020 |
| Patient Name | Mrs. KAJAL SARKAR | Contact No | 8334072464 |
| Address | 3/2 K.C MUKHERJEE STREET (BELEL PARA) SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||