Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07837 | Date 18/03/2020 |
| Token No | SM/19-20/19872 18/03/2020 | Serial | 046 Last Visit: 18/03/2020 |
| Patient Name | Miss PRITY PAL | Contact No | 9051108175 |
| Address | 5NO KUMOR PARA LANE, CHATRA, SERAMPORE, 712204 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||