Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08191 | Date 01/05/2020 |
| Token No | SM/19-20/21799 01/05/2020 | Serial | 005 Last Visit: 01/05/2020 |
| Patient Name | Mrs. TANDRA MUKHERJEE | Contact No | 9433576045 |
| Address | 7 DR CHATERJEE LANE SERAMPORE | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||