Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08003 | Date 02/04/2020 |
| Token No | SM/19-20/20667 02/04/2020 | Serial | 046 Last Visit: 02/04/2020 |
| Patient Name | Mrs. SABANA PARVEN | Contact No | 9143609467 |
| Address | 56 N.N. ROY STREET SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||