Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07294 | Date 07/01/2020 |
| Token No | SM/19-20/16319 07/01/2020 | Serial | 027 Last Visit: 07/01/2020 |
| Patient Name | Mrs. ALO DUTTA | Contact No | 9088551794 |
| Address | 19 NO RAJA K.L GOSWAMI STREET SERAMPORE | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||