Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07951 | Date 28/03/2020 |
| Token No | SM/19-20/20442 28/03/2020 | Serial | 029 Last Visit: 03/04/2020 |
| Patient Name | Mrs. JHARNA GANGULI | Contact No | 9330973303 |
| Address | 63 THAKUR DAS BABU LANE SERAMPORE | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||