Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09313 | Date 12/03/2021 |
| Token No | SM/20-21/30650 12/03/2021 | Serial | 044 Last Visit: 12/03/2021 |
| Patient Name | Mrs. ANJANA KAR (PANJA) | Contact No | 8420155406 |
| Address | 659 G. T. ROAD(NORTH),SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||