Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08526 | Date 10/07/2020 |
| Token No | SM/19-20/24004 10/07/2020 | Serial | 035 Last Visit: 10/07/2020 |
| Patient Name | Miss PAYEL BHATTCHARJEE | Contact No | 9330208285 |
| Address | 3 UPPER STAND ROAD SERAMPOERE | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||