Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07703 | Date 04/03/2020 |
| Token No | SM/19-20/19083 04/03/2020 | Serial | 057 Last Visit: 04/03/2020 |
| Patient Name | Mrs. TANUSHREE DAS | Contact No | 9836352310 |
| Address | 24 BARA BAGAN LANE SERAMPORE (M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||