Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04018 | Date 05/03/2019 |
| Token No | SM/19-20/6304 11/07/2019 | Serial | 054 Last Visit: 05/02/2021 |
| Patient Name | Mrs. PRITI BANERJEE | Contact No | 8902353284 |
| Address | 31 KUMIR JELA ROAD SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||