Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06942 | Date 21/11/2019 |
| Token No | SM/19-20/14572 03/12/2019 | Serial | 055 Last Visit: 12/12/2019 |
| Patient Name | Miss ARCHANA CHATTERJEE | Contact No | 8697483072 |
| Address | 11/H RAJA K.L GOSWAMI STREET SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||