Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09284 | Date 05/03/2021 |
| Token No | SM/20-21/30410 05/03/2021 | Serial | 032 Last Visit: 05/03/2021 |
| Patient Name | Mrs. MANJU HAZRA | Contact No | 9330174956 |
| Address | 26 BARA BAGAN LANE,SERAMPORE, | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||