Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 03988 | Date 05/03/2019 |
| Token No | SM/20-21/29741 25/01/2021 | Serial | 025 Last Visit: 25/01/2021 |
| Patient Name | Mrs. KUNTI SHA | Contact No | 9831978580 |
| Address | 10 T C GOSWAMI STREET, SERAMPORE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||