Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07274 | Date 03/01/2020 |
| Token No | SM/19-20/16280 06/01/2020 | Serial | 076 Last Visit: 06/01/2020 |
| Patient Name | Mrs. JAYA RAJBHAR | Contact No | 9123338390 |
| Address | 13 LBS ROAD SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||