Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07884 | Date 21/03/2020 |
| Token No | SM/19-20/20400 27/03/2020 | Serial | 048 Last Visit: 27/03/2020 |
| Patient Name | Mrs. SANTU DUTTA | Contact No | 8017649531 |
| Address | 17 ROY MC LAHIRI STREET (NILJHIL APPARTMENT), SERAMPORE | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||