Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08324 | Date 09/06/2020 |
| Token No | SM/19-20/24398 24/07/2020 | Serial | 015 Last Visit: 07/08/2020 |
| Patient Name | Mrs. LAXSHMIRANI GHOSH | Contact No | 6290176017 |
| Address | 8 BHADURI LANE CHATRA SERAMPORE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||