Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09390 | Date 24/03/2021 |
| Token No | SM/20-21/31138 24/03/2021 | Serial | 027 Last Visit: 24/03/2021 |
| Patient Name | Mrs. CHAITALI KARMAKAR | Contact No | 7278025421 |
| Address | 25, CHAKRABORTY LANE SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||