Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08510 | Date 09/07/2020 |
| Token No | SM/19-20/23910 09/07/2020 | Serial | 001 Last Visit: 09/07/2020 |
| Patient Name | Mrs. ASHA SINGH | Contact No | 9123711020 |
| Address | 51 K.M BHATTACHARYA STREET SERAMPORE | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||