Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06099 | Date 09/08/2019 |
| Token No | SM/19-20/8267 09/08/2019 | Serial | 074 Last Visit: 09/08/2019 |
| Patient Name | Mrs. ANUSHAKA JHA | Contact No | 9681059453 |
| Address | N.N RAY STREET SERAMPORE | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||