Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05101 | Date 14/05/2019 |
| Token No | SM/20-21/26017 25/09/2020 | Serial | 009 Last Visit: 25/09/2020 |
| Patient Name | Mrs. ANJANA GOSWAMI | Contact No | 6290928095 |
| Address | 39 BHADURI PARA LANE SERAMPORE | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||