Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09354 | Date 19/03/2021 |
| Token No | SM/20-21/30923 19/03/2021 | Serial | 032 Last Visit: 19/03/2021 |
| Patient Name | Mrs. SARASWATI DAS | Contact No | 9804922977 |
| Address | 27 S.C. CHATTERJEE SARANI, SERAMPORE, MALLICKPARA, 712203 | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||