Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08316 | Date 08/06/2020 |
| Token No | SM/19-20/22848 08/06/2020 | Serial | 027 Last Visit: 08/06/2020 |
| Patient Name | Mrs. KANAN LAHA | Contact No | 9830407630 |
| Address | 6 ROY GHAT LANE , SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||