Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07912 | Date 24/03/2020 |
| Token No | SM/19-20/20523 30/03/2020 | Serial | 074 Last Visit: 30/03/2020 |
| Patient Name | Mrs. GAYTRI MAHATO | Contact No | 9088547540 |
| Address | 25 MUKHERJEE PARA SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||