Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08304 | Date 03/06/2020 |
| Token No | SM/19-20/22696 03/06/2020 | Serial | 001 Last Visit: 03/06/2020 |
| Patient Name | Mrs. SUSMITA BENERJEE | Contact No | 8240431699 |
| Address | 1/1 PROF. K. K. MUKHERJEE SARANI | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||