Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08352 | Date 15/06/2020 |
| Token No | SM/19-20/23099 15/06/2020 | Serial | 021 Last Visit: 15/06/2020 |
| Patient Name | Mrs. KAUSHALYA DEVI | Contact No | 6290979044 |
| Address | 27 A BAZAAR BYE LANE SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||