Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08605 | Date 30/07/2020 |
| Token No | SM/19-20/24603 30/07/2020 | Serial | 013 Last Visit: 03/09/2020 |
| Patient Name | Mrs. PINKI DEVI | Contact No | 9008103014 |
| Address | 665 GT ROAD SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||