Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08089 | Date 16/04/2020 |
| Token No | SM/19-20/21188 16/04/2020 | Serial | 030 Last Visit: 16/04/2020 |
| Patient Name | Mrs. TAPATI BENERJEE | Contact No | 9831455099 |
| Address | 13/A BEBEKANANDA LANE | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||