Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09085 | Date 22/12/2020 |
| Token No | SM/20-21/28671 22/12/2020 | Serial | 018 Last Visit: 22/12/2020 |
| Patient Name | Mrs. MINA SARKAR | Contact No | 9674265526 |
| Address | 4 CHTARA LAHIRI PARA LANE SERAMPORE, | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||