Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07433 | Date 28/01/2020 |
| Token No | SM/19-20/17327 28/01/2020 | Serial | 020 Last Visit: 28/01/2020 |
| Patient Name | Miss KOUSHANI DUTTA | Contact No | 9804976466 |
| Address | PAHALAMPUR , SINGUR | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||