Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08946 | Date 09/11/2020 |
| Token No | SM/20-21/27310 09/11/2020 | Serial | 015 Last Visit: 09/11/2020 |
| Patient Name | Miss SUHANI BAG | Contact No | 9511194129 |
| Address | 13/B CHOWDHURY PARA LANE | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||