Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08347 | Date 13/06/2020 |
| Token No | SM/19-20/23073 13/06/2020 | Serial | 032 Last Visit: 13/06/2020 |
| Patient Name | Mrs. BELA DEVI | Contact No | |
| Address | LBS ROAD TINBAJAR SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||