Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09056 | Date 16/12/2020 |
| Token No | SM/20-21/28486 16/12/2020 | Serial | 019 Last Visit: 16/12/2020 |
| Patient Name | Mrs. RITA SINGH | Contact No | 8777298255 |
| Address | 66/C/2 PRAVASNAGAR , SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||