Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08367 | Date 17/06/2020 |
| Token No | SM/19-20/23188 17/06/2020 | Serial | 019 Last Visit: 17/06/2020 |
| Patient Name | Mrs. LAKHI THAPA | Contact No | 9883060104 |
| Address | 20 LBS ROAD SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||