Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07839 | Date 18/03/2020 |
| Token No | SM/19-20/23066 13/06/2020 | Serial | 025 Last Visit: 13/06/2020 |
| Patient Name | Miss NISHA SINGH | Contact No | 9007671581 |
| Address | 42/A BARA BAGAN LANE SERAMPORE , MALLICK PARA | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||