Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07777 | Date 13/03/2020 |
| Token No | SM/19-20/19550 13/03/2020 | Serial | 024 Last Visit: 13/03/2020 |
| Patient Name | Miss SUBHOSREE LAHA | Contact No | 7685844394 |
| Address | 97 D. N. MUKHERJEE ROAD,BAIDYABATI(M) | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||