Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09083 | Date 22/12/2020 |
| Token No | SM/20-21/28667 22/12/2020 | Serial | 014 Last Visit: 22/12/2020 |
| Patient Name | Mrs. DEVI BISWAS | Contact No | 7595882326 |
| Address | 52 K M BHATTCHARYA STREET SERAMPORE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||