Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08423 | Date 25/06/2020 |
| Token No | SM/19-20/23391 25/06/2020 | Serial | 030 Last Visit: 25/06/2020 |
| Patient Name | Miss SABNAM KHATUN | Contact No | 8013311471 |
| Address | 1 DR CHATERJEE BYE LANE SERAMPORE | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||