Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08410 | Date 24/06/2020 |
| Token No | SM/19-20/23330 24/06/2020 | Serial | 002 Last Visit: 24/06/2020 |
| Patient Name | Mrs. ANUPAMA CHATTERJEE | Contact No | 8420366864 |
| Address | 90 N S AVENUE,SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||