Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08467 | Date 02/07/2020 |
| Token No | SM/19-20/23658 02/07/2020 | Serial | 067 Last Visit: 02/07/2020 |
| Patient Name | Mrs. PAPIYA KUNDU | Contact No | 8013166054 |
| Address | 11/A MUSALMAN PARA ROAD SERAMPORE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||