Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08997 | Date 26/11/2020 |
| Token No | SM/20-21/29276 11/01/2021 | Serial | 038 Last Visit: 11/01/2021 |
| Patient Name | Mrs. MAYA SAHA | Contact No | 6290272147 |
| Address | 30/77 TARAPUKUR COLONY MALLICKPARA, SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||