Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03945 | Date 02/03/2019 |
| Token No | SM/19-20/24519 28/07/2020 | Serial | 002 Last Visit: 28/07/2020 |
| Patient Name | Mrs. TAMASA BANERJEE | Contact No | 6290958434 |
| Address | 1/2 N.L GOSWAMI STREET, SERAMPORE | Age | 32 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||