Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09562 | Date 30/04/2021 |
| Token No | SM/21-22/1943 04/06/2021 | Serial | 038 Last Visit: 09/07/2021 |
| Patient Name | Mrs. REKHA DEBI | Contact No | 8697302864 |
| Address | 79/ N.N ROY STREET ,SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||