Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08079 | Date 13/04/2020 |
| Token No | SM/19-20/21971 05/05/2020 | Serial | 052 Last Visit: 05/05/2020 |
| Patient Name | Mrs. JAYEETA SARKAR | Contact No | 6289045665 |
| Address | 10 GOALA PARA LANE SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||