Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06205 | Date 22/08/2019 |
| Token No | SM/19-20/9007 22/08/2019 | Serial | 072 Last Visit: 22/08/2019 |
| Patient Name | Miss SNEHA PRAMANIK | Contact No | 9831616590 |
| Address | 22A PN CHAKRABORTY LANE SERAMPORE | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||