Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09340 | Date 18/03/2021 |
| Token No | SM/20-21/30873 18/03/2021 | Serial | 021 Last Visit: 18/03/2021 |
| Patient Name | Mrs. ANJALI GHOSH | Contact No | 9903349152 |
| Address | 80 K.M SHA STREET SERAMPORE | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||