Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08354 | Date 15/06/2020 |
| Token No | SM/19-20/23108 15/06/2020 | Serial | 030 Last Visit: 15/06/2020 |
| Patient Name | Mrs. PRATIMA DAS | Contact No | 8961664597 |
| Address | 171 N.S AVENUE SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||