Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08529 | Date 11/07/2020 |
| Token No | SM/19-20/24029 11/07/2020 | Serial | 020 Last Visit: 19/08/2020 |
| Patient Name | Miss SNEHA MANNA | Contact No | 9007522141 |
| Address | CHOTO BELUR SARDAR PARA , SERAMPORE | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||