Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08907 | Date 27/10/2020 |
| Token No | SM/20-21/26941 27/10/2020 | Serial | 004 Last Visit: 27/10/2020 |
| Patient Name | Mrs. ANNESHA CHAKRABORTY | Contact No | 9830305569 |
| Address | 24 AUDDY LANE SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||