Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09222 | Date 28/01/2021 |
| Token No | SM/20-21/29850 28/01/2021 | Serial | 029 Last Visit: 28/01/2021 |
| Patient Name | Miss SHUNAYANI CHATTERJEE | Contact No | 8697008495 |
| Address | 19 RAJA K L GOSWAMI STREET SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||