Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00357 | Date 11/08/2018 |
| Token No | SM/20-21/27800 26/11/2020 | Serial | 001 Last Visit: 26/11/2020 |
| Patient Name | Mrs. MALATI MANNA | Contact No | 9836997803 |
| Address | 79 N.S. AVENUE, SERAMPORE | Age | 59.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||