Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08807 | Date 01/10/2020 |
| Token No | SM/20-21/26209 01/10/2020 | Serial | 035 Last Visit: 01/10/2020 |
| Patient Name | Mrs. PRPNOTI CHATTERJEE | Contact No | 8335865437 |
| Address | 29 GHOSH PARA,1ST. LANE | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||