Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08892 | Date 17/10/2020 |
| Token No | SM/20-21/26789 17/10/2020 | Serial | 020 Last Visit: 17/10/2020 |
| Patient Name | Mrs. PIYALI BANERJEE | Contact No | 7679195455 |
| Address | 74/AP GHOSH ROAD CHATRA SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||