Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08477 | Date 03/07/2020 |
| Token No | SM/20-21/26460 08/10/2020 | Serial | 023 Last Visit: 11/02/2022 |
| Patient Name | Mrs. RATNA BASAK | Contact No | 9903537369 |
| Address | 15/G DR. BAGAN LANE SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||