Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09025 | Date 04/12/2020 |
| Token No | SM/20-21/28466 15/12/2020 | Serial | 046 Last Visit: 21/12/2020 |
| Patient Name | Mrs. SEFALI ADITYA | Contact No | 8582992897 |
| Address | 24 M A K DUTTA SARANI CHATRA BAZAR ROAD SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||