Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 03277 | Date 01/02/2019 |
| Token No | SM/18-19/7760 01/02/2019 | Serial | 036 Last Visit: 24/06/2019 |
| Patient Name | Miss TRISHA DEY | Contact No | 9564644075 |
| Address | 5 AUDDY LANE ,SERAMPORE | Age | 13 TRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||