Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08224 | Date 05/05/2020 |
| Token No | SM/19-20/21956 05/05/2020 | Serial | 037 Last Visit: 05/05/2020 |
| Patient Name | Mrs. SHIKA DUTTA | Contact No | 9874281447 |
| Address | 46/96 GURUUDAS BHATTACHARJEE LANE,BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||