Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08279 | Date 23/05/2020 |
| Token No | SM/19-20/22436 23/05/2020 | Serial | 003 Last Visit: 23/05/2020 |
| Patient Name | Mrs. BANDANA PAL | Contact No | 9239229345 |
| Address | 21 MUKHERJEE PARA LANE SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||