Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09899 | Date 02/08/2021 |
| Token No | SM/21-22/3680 02/08/2021 | Serial | 026 Last Visit: 02/08/2021 |
| Patient Name | Mrs. JABA GHOSWAMI | Contact No | 8582908655 |
| Address | 258,RAMKRISHNA ROAD SERAMPORE | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||