Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08644 | Date 17/08/2020 |
| Token No | SM/19-20/25057 22/08/2020 | Serial | 026 Last Visit: 22/08/2020 |
| Patient Name | Mrs. NIRMALA CHATTERJEE | Contact No | 9163681212 |
| Address | 54/L/6 S.C. CHATTERJEE SARANI SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||