Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08533 | Date 13/07/2020 |
| Token No | SM/19-20/24056 13/07/2020 | Serial | 026 Last Visit: 13/07/2020 |
| Patient Name | Miss ISHA MALLIK | Contact No | 7044762195 |
| Address | 41 A.P GHOSH ROAD CHATRA , SERAMPORE | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||