Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08862 | Date 13/10/2020 |
| Token No | SM/20-21/26629 13/10/2020 | Serial | 046 Last Visit: 13/10/2020 |
| Patient Name | Mrs. SWANTANA DAS | Contact No | 9830962910 |
| Address | BENIAPARA LANE, SERAMPORE | Age | 50 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||