Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08202 | Date 04/05/2020 |
| Token No | SM/19-20/21864 04/05/2020 | Serial | 008 Last Visit: 04/05/2020 |
| Patient Name | Miss ISHANI GHOSHAL | Contact No | 9007555481 |
| Address | 7/A ROY GHAT LANE | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||