Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09586 | Date 06/05/2021 |
| Token No | SM/21-22/1185 06/05/2021 | Serial | 012 Last Visit: 22/11/2021 |
| Patient Name | Mrs. ANJALI MAL | Contact No | 9830974193 |
| Address | 69/A/3 G T ROAD SERAMPORE MALLICK PARA, SERAMPORE | Age | 62 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||