Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08602 | Date 30/07/2020 |
| Token No | SM/19-20/25375 03/09/2020 | Serial | 021 Last Visit: 03/09/2020 |
| Patient Name | Mrs. NILAKSHI SAMADDAR (RAY) | Contact No | 9836707991 |
| Address | 14/C S.C CHATTERJEE SARANI SERAMPORE MALLICKPARA | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||