Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09059 | Date 17/12/2020 |
| Token No | SM/20-21/28501 17/12/2020 | Serial | 007 Last Visit: 28/12/2020 |
| Patient Name | Mrs. PAMELA MONDAL | Contact No | 9545379977 |
| Address | 4/2 REKHARANI APPARTMENT 21 DR , P N MUKHERJEE STREET SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||