Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08701 | Date 03/09/2020 |
| Token No | SM/19-20/25427 03/09/2020 | Serial | 073 Last Visit: 03/09/2020 |
| Patient Name | Mrs. ANRUPA CHATTERJEE | Contact No | 7278354016 |
| Address | 22A CHATRA CHOWDHURY PARA SERAMPORE -7122204 | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||