Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08918 | Date 29/10/2020 |
| Token No | SM/20-21/26982 29/10/2020 | Serial | 009 Last Visit: 29/10/2020 |
| Patient Name | Mrs. PURNIMA DEVI GUPTA | Contact No | 9831069260 |
| Address | 15 L B S ROAD SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||