Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08543 | Date 14/07/2020 |
| Token No | SM/19-20/24117 14/07/2020 | Serial | 020 Last Visit: 14/07/2020 |
| Patient Name | Mrs. SOMA DEY | Contact No | 7439405875 |
| Address | 9 ROY M.C LAHIRI STREET SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||