Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04071 | Date 07/03/2019 |
| Token No | SM/21-22/3732 03/08/2021 | Serial | 028 Last Visit: 16/11/2022 |
| Patient Name | Mrs. KANIKA BANERJEE | Contact No | 8902296891 |
| Address | 85/B KUMIR JALA LANE SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||