Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08729 | Date 10/09/2020 |
| Token No | SM/19-20/25617 10/09/2020 | Serial | 055 Last Visit: 10/09/2020 |
| Patient Name | Mrs. DIPANNITA GHOSH | Contact No | 9088472627 |
| Address | 06 GOLA PARA LANE SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||