Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08955 | Date 10/11/2020 |
| Token No | SM/20-21/29056 05/01/2021 | Serial | 072 Last Visit: 04/06/2021 |
| Patient Name | Mrs. MINAKSHI MAZUMDER | Contact No | 9874769307 |
| Address | 15/A/1 LENIN SARANI SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||