Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09226 | Date 28/01/2021 |
| Token No | SM/20-21/29872 28/01/2021 | Serial | 051 Last Visit: 28/01/2021 |
| Patient Name | Mrs. SERUN NESHA | Contact No | 7479200445 |
| Address | S P MUKHERJEE ROAD TITAGAR(M) | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||