Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09020 | Date 04/12/2020 |
| Token No | SM/20-21/28073 04/12/2020 | Serial | 024 Last Visit: 04/12/2020 |
| Patient Name | Mrs. JAMUNA PAUL | Contact No | 6291086632 |
| Address | 28/A BARA BAGAN LANE SERAMPORE | Age | 80 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||