Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08695 | Date 03/09/2020 |
| Token No | SM/20-21/26988 29/10/2020 | Serial | 015 Last Visit: 29/10/2020 |
| Patient Name | Mrs. SK JABEDA | Contact No | 9903513087 |
| Address | 29 A.K DUTTA SARANI CHATRA BAZAR ROAD SERAMPORE | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||