Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08919 | Date 29/10/2020 |
| Token No | SM/20-21/26987 29/10/2020 | Serial | 014 Last Visit: 29/10/2020 |
| Patient Name | Mrs. PRITI KUMARI GIRI | Contact No | 6289107751 |
| Address | 19 BAZAR BYE LANE SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||