Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07324 | Date 11/01/2020 |
| Token No | SM/19-20/16583 11/01/2020 | Serial | 043 Last Visit: 24/01/2020 |
| Patient Name | Mrs. ASHA CHANDA | Contact No | 6289305618 |
| Address | 20 DR G.C GOSWAMI STREET SERAMPORE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||