Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08796 | Date 29/09/2020 |
| Token No | SM/21-22/7178 25/11/2021 | Serial | 042 Last Visit: 02/12/2021 |
| Patient Name | Mrs. CHHANDA PAL | Contact No | 9433147879 |
| Address | 39 A 4 ROY M.C LAHIRI ROAD SERAMPORE | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||