Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09483 | Date 19/04/2021 |
| Token No | SM/21-22/558 19/04/2021 | Serial | 025 Last Visit: 19/04/2021 |
| Patient Name | Mrs. JHUMA GUHA | Contact No | 9804456520 |
| Address | 30,DR. G.C GHOSWAMI PARA STREET SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||