Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08591 | Date 27/07/2020 |
| Token No | SM/19-20/24484 27/07/2020 | Serial | 023 Last Visit: 27/07/2020 |
| Patient Name | Mrs. JOLLY SRIMANI | Contact No | 9836030919 |
| Address | 62/B DEY STREET SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||