Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08815 | Date 03/10/2020 |
| Token No | SM/20-21/26261 03/10/2020 | Serial | 037 Last Visit: 03/10/2020 |
| Patient Name | Miss KHUSHI KHATUN | Contact No | 9088523975 |
| Address | 7/F ARBINDA SARANI CHATRA SERAMPORE | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||