Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08601 | Date 30/07/2020 |
| Token No | SM/19-20/24596 30/07/2020 | Serial | 006 Last Visit: 03/09/2020 |
| Patient Name | Mrs. TAPATRISHA MUKHERJEE LAHIRI | Contact No | 7278706569 |
| Address | 54/L/3 S C CHATTERJEE SARANI MALLICKPARA SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||