Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02967 | Date 11/01/2019 |
| Token No | SM/19-20/22828 08/06/2020 | Serial | 007 Last Visit: 08/06/2020 |
| Patient Name | Miss APARNA PAL | Contact No | 7044953064 |
| Address | 1 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||