Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08417 | Date 24/06/2020 |
| Token No | SM/19-20/23349 24/06/2020 | Serial | 021 Last Visit: 24/06/2020 |
| Patient Name | Mrs. SHYAMALI DHARA | Contact No | 6290129801 |
| Address | 21/A BARA BAGAN LANE SERAMPORE MALLICKPARA | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||