Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07646 | Date 27/02/2020 |
| Token No | SM/19-20/19570 13/03/2020 | Serial | 044 Last Visit: 10/07/2020 |
| Patient Name | Mrs. JAYANTI KUNDU | Contact No | 8420165788 |
| Address | 41/A PROF K K M SARANI CHATRA SERAMPORE | Age | 65 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||