Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09495 | Date 20/04/2021 |
| Token No | SM/21-22/605 20/04/2021 | Serial | 014 Last Visit: 24/05/2021 |
| Patient Name | Mrs. JAYSREE BHATTACHARYA | Contact No | 8777698717 |
| Address | SARAT CHANDRA CHATTAPADHAY SARANI,SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||