Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08516 | Date 09/07/2020 |
| Token No | SM/19-20/23942 09/07/2020 | Serial | 033 Last Visit: 11/07/2020 |
| Patient Name | Mrs. RINA DEVI | Contact No | |
| Address | DR. BAGAN SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||