Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07806 | Date 16/03/2020 |
| Token No | SM/19-20/19696 16/03/2020 | Serial | 020 Last Visit: 16/03/2020 |
| Patient Name | Mrs. DALIA CHAKRABORTY | Contact No | 9088886692 |
| Address | 8/2 CHAPA TALA LANE SERAMPORE | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||