Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09088 | Date 22/12/2020 |
| Token No | SM/20-21/30530 09/03/2021 | Serial | 005 Last Visit: 29/06/2021 |
| Patient Name | Mrs. GANGA PATRA | Contact No | 7890242207 |
| Address | 320/486 G T ROAD CHATRA SERAMPORE , BAIDYABATI(M) | Age | 79 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||