Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08689 | Date 02/09/2020 |
| Token No | SM/19-20/25330 02/09/2020 | Serial | 029 Last Visit: 04/09/2020 |
| Patient Name | Mrs. KALPANA DAS | Contact No | 7278943099 |
| Address | 26/E/C DINEN BHATTACHARJEE SARANI SERAMPORE PRABASH NAGAR | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||