Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09788 | Date 05/07/2021 |
| Token No | SM/21-22/2835 05/07/2021 | Serial | 019 Last Visit: 02/08/2021 |
| Patient Name | Mrs. ANITA PAL | Contact No | 8017087974 |
| Address | 91/1 G.T ROAD NABAGRAMN SERAMPORE | Age | 69 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||