Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08266 | Date 16/05/2020 |
| Token No | SM/19-20/22300 16/05/2020 | Serial | 016 Last Visit: 08/12/2020 |
| Patient Name | Miss ANUKSHA JHA | Contact No | 7003856876 |
| Address | N.N. ROY STREET, SERAMPORE | Age | 5.1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||