Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08235 | Date 07/05/2020 |
| Token No | SM/19-20/22042 07/05/2020 | Serial | 030 Last Visit: 07/05/2020 |
| Patient Name | Mrs. RIYA SHAW | Contact No | 9831973094 |
| Address | 48/C PANCHUGOPAL BHADURI SARANI SERAMPORE M | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||