Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07968 | Date 30/03/2020 |
| Token No | SM/19-20/22405 22/05/2020 | Serial | 015 Last Visit: 22/05/2020 |
| Patient Name | Mrs. KASHISH DAS | Contact No | 7449881678 |
| Address | 8 KANAI DEWAN TALA BYE LANE SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||