Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08793 | Date 29/09/2020 |
| Token No | SM/20-21/26103 29/09/2020 | Serial | 003 Last Visit: 29/09/2020 |
| Patient Name | Miss NINDIYA RAJBHAR | Contact No | 6289333919 |
| Address | 29 K M BHATTCHARJEE STREET SERAMPORE | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||