Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09524 | Date 22/04/2021 |
| Token No | SM/21-22/3802 05/08/2021 | Serial | 034 Last Visit: 27/08/2021 |
| Patient Name | Mrs. KAKALI MUKHERJEE | Contact No | 9674523527 |
| Address | SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||