Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08489 | Date 06/07/2020 |
| Token No | SM/19-20/23803 06/07/2020 | Serial | 045 Last Visit: 07/10/2020 |
| Patient Name | Miss ISHITA DAS | Contact No | 9163515979 |
| Address | 43 KHAS BAGAN LANE, BAIDYABATI(M) | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||