Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05589 | Date 27/06/2019 |
| Token No | SM/21-22/5802 05/10/2021 | Serial | 053 Last Visit: 05/10/2021 |
| Patient Name | Miss PAMPA KAYAL | Contact No | 8481870606 |
| Address | 38/D G.T ROAD CHATRA SERAMPORE | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||