Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08154 | Date 27/04/2020 |
| Token No | SM/19-20/21593 27/04/2020 | Serial | 020 Last Visit: 18/05/2020 |
| Patient Name | Mrs. JHUMA GHOSH | Contact No | 9883384558 |
| Address | 2/B DR. CHYATARJEE BYE LANE | Age | 33 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||