Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09548 | Date 28/04/2021 |
| Token No | SM/21-22/1473 17/05/2021 | Serial | 058 Last Visit: 05/10/2021 |
| Patient Name | Mrs. SUNITI MUKHERJEE | Contact No | 9477030200 |
| Address | S.C GHOSH LANE SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||