Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08256 | Date 15/05/2020 |
| Token No | SM/19-20/22243 15/05/2020 | Serial | 010 Last Visit: 15/05/2020 |
| Patient Name | Mrs. SHARMILA PAUL | Contact No | 9007555481 |
| Address | 7/A ROY GHAT LANE, SERAMPORE | Age | 40 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||