Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08941 | Date 06/11/2020 |
| Token No | SM/20-21/27243 06/11/2020 | Serial | 031 Last Visit: 06/11/2020 |
| Patient Name | Mrs. ASHA DEVI | Contact No | 6290373638 |
| Address | 1 AUDDY LANE SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||