Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07751 | Date 11/03/2020 |
| Token No | SM/19-20/19664 14/03/2020 | Serial | 067 Last Visit: 14/03/2020 |
| Patient Name | Mrs. DIPALI GHOSH | Contact No | 8017518044 |
| Address | 17 VIVEKANANDA LANE SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||