Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08125 | Date 22/04/2020 |
| Token No | SM/19-20/21421 22/04/2020 | Serial | 004 Last Visit: 22/04/2020 |
| Patient Name | Mrs. SUJATA BANERJEE | Contact No | 7044752089 |
| Address | 31/A/1 BARA BAGAN LANE SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||