Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08296 | Date 01/06/2020 |
| Token No | SM/19-20/22800 05/06/2020 | Serial | 039 Last Visit: 05/06/2020 |
| Patient Name | Miss PAROMITA PAL | Contact No | 9339656471 |
| Address | 41/A NO KUMOR PARA LANE CHATRA SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||