Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08362 | Date 17/06/2020 |
| Token No | SM/19-20/23179 17/06/2020 | Serial | 010 Last Visit: 17/06/2020 |
| Patient Name | Miss SOMA NANDI | Contact No | 9674320361 |
| Address | 31, DR, P.N. MUKHERJEE STREET SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||