Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08192 | Date 01/05/2020 |
| Token No | SM/19-20/21807 01/05/2020 | Serial | 013 Last Visit: 01/05/2020 |
| Patient Name | Miss MOUHA PATRO | Contact No | 9674124886 |
| Address | 134/A N. S. AVENEU,SERAMPORE | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||