Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08629 | Date 06/08/2020 |
| Token No | SM/19-20/24726 06/08/2020 | Serial | 001 Last Visit: 06/08/2020 |
| Patient Name | Mrs. PINKI DAS | Contact No | 9007695655 |
| Address | 75 K M SAHA STREET SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||