Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08106 | Date 18/04/2020 |
| Token No | SM/19-20/21438 22/04/2020 | Serial | 021 Last Visit: 22/04/2020 |
| Patient Name | Miss TORSHA GHOSHAL | Contact No | 8918231325 |
| Address | 2 RAJMOHAN GOSWAMI LANE SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||