Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08386 | Date 18/06/2020 |
| Token No | SM/19-20/23233 18/06/2020 | Serial | 032 Last Visit: 18/06/2020 |
| Patient Name | Mrs. BANDANA CHAKRABORTY | Contact No | 9331859839 |
| Address | 2/A/4/A ASHUTOSH CHATERJEE LANE SERAMPORE | Age | 56 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||