Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09804 | Date 06/07/2021 |
| Token No | SM/21-22/2916 06/07/2021 | Serial | 046 Last Visit: 06/07/2021 |
| Patient Name | Mrs. BISHAKHA MANDAL | Contact No | 7278133003 |
| Address | 78 G.T ROAD SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||