Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01911 | Date 05/11/2018 |
| Token No | SM/20-21/28742 24/12/2020 | Serial | 025 Last Visit: 24/12/2020 |
| Patient Name | Mrs. TAPASHI DUTTA | Contact No | 8981872068 |
| Address | CHATRA DUTTA PARA, SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||