Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07642 | Date 27/02/2020 |
| Token No | SM/19-20/18737 27/02/2020 | Serial | 025 Last Visit: 27/02/2020 |
| Patient Name | Mrs. SARASWATI JANA | Contact No | 9330632363 |
| Address | 16 RAJA K.L GOSWAMI STREET SERAMPORE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||