Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08590 | Date 27/07/2020 |
| Token No | SM/19-20/24482 27/07/2020 | Serial | 021 Last Visit: 03/09/2020 |
| Patient Name | Mrs. SAYANTI BANERJEE | Contact No | 7998129814 |
| Address | 33 CHANDRA MOHAN ROY LANE SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||