Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08457 | Date 30/06/2020 |
| Token No | SM/19-20/23578 30/06/2020 | Serial | 031 Last Visit: 30/06/2020 |
| Patient Name | Miss SHREYA JANA | Contact No | 8697699123 |
| Address | 12G/1/C ARABINDA SARANI SERAMPORE M | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||