Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07411 | Date 24/01/2020 |
| Token No | SM/19-20/22114 11/05/2020 | Serial | 022 Last Visit: 19/03/2021 |
| Patient Name | Mrs. ANJANA SEAL | Contact No | 7686873188 |
| Address | 26B BENIAPARA LANE SERAMPORE | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||