Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08364 | Date 17/06/2020 |
| Token No | SM/19-20/23184 17/06/2020 | Serial | 015 Last Visit: 17/06/2020 |
| Patient Name | Miss SUBHASHREE DUTTA | Contact No | 9903221324 |
| Address | 15/B BARO BAGAN LANE SERAMPORE | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||