Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08903 | Date 21/10/2020 |
| Token No | SM/20-21/26895 21/10/2020 | Serial | 025 Last Visit: 21/10/2020 |
| Patient Name | Miss NAHA DAS | Contact No | 9903134834 |
| Address | 101 N.S.EVENU,SERAMPORE | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||