Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08914 | Date 29/10/2020 |
| Token No | SM/20-21/26977 29/10/2020 | Serial | 004 Last Visit: 29/10/2020 |
| Patient Name | Mrs. POOJA DEVI | Contact No | 9835300805 |
| Address | 32/L DOCTOR BAGANLANE SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||