Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07117 | Date 11/12/2019 |
| Token No | SM/19-20/15026 11/12/2019 | Serial | 005 Last Visit: 11/12/2019 |
| Patient Name | Miss ARUNIMA SAHA | Contact No | 8910178891 |
| Address | 18C SARAT CHATTERJEE ROAD NABAGRAM SERAMPORE | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||