Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08509 | Date 08/07/2020 |
| Token No | SM/19-20/23909 08/07/2020 | Serial | 023 Last Visit: 08/07/2020 |
| Patient Name | Mrs. PIU DUTTA | Contact No | 9800760517 |
| Address | 47/B CHATRA BARUI PARA LANE SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||