Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07973 | Date 30/03/2020 |
| Token No | SM/19-20/20513 30/03/2020 | Serial | 064 Last Visit: 30/03/2020 |
| Patient Name | Mrs. KAMALA BIBI | Contact No | |
| Address | 7 TARAPUKUR LANE SERAMPORE | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||