Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08481 | Date 04/07/2020 |
| Token No | SM/19-20/23747 04/07/2020 | Serial | 016 Last Visit: 04/07/2020 |
| Patient Name | Mrs. MALLIKA CHATTERJEE | Contact No | 8076442626 |
| Address | 3/J CHATRA DUTTA PARA LANE CHATRA SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||