Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05698 | Date 08/07/2019 |
| Token No | SM/19-20/6060 08/07/2019 | Serial | 033 Last Visit: 08/07/2019 |
| Patient Name | Mrs. ANIMA PANDIT | Contact No | 9830994410 |
| Address | MC ROY BAHDUR STREET CHATRA SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||