Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08355 | Date 15/06/2020 |
| Token No | SM/19-20/23116 15/06/2020 | Serial | 038 Last Visit: 24/06/2022 |
| Patient Name | Mrs. BABY NANDI | Contact No | 9903179441 |
| Address | 21 C.M. ROY LANE, SERAMPORE | Age | 51YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||