Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09252 | Date 01/03/2021 |
| Token No | SM/20-21/30188 01/03/2021 | Serial | 008 Last Visit: 01/03/2021 |
| Patient Name | Mrs. RINKI DUTTA | Contact No | 8820245353 |
| Address | 9/A S.C. CHATTERJEE SARANI SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||