Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08963 | Date 10/11/2020 |
| Token No | SM/20-21/27439 10/11/2020 | Serial | 080 Last Visit: 10/11/2020 |
| Patient Name | Miss SOUMITA ADHIKARY | Contact No | 9163035692 |
| Address | 14 CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||