Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09134 | Date 06/01/2021 |
| Token No | SM/20-21/29097 06/01/2021 | Serial | 030 Last Visit: 06/01/2021 |
| Patient Name | Mrs. RAJESWARI CHOWDHURY | Contact No | 9123936388 |
| Address | BARABELU BELUMILKI, SERAMPORE | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||