Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09010 | Date 01/12/2020 |
| Token No | SM/20-21/27951 01/12/2020 | Serial | 053 Last Visit: 01/12/2020 |
| Patient Name | Mrs. USHA DEVI | Contact No | 9919674167 |
| Address | 1 AUDDY LANE SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||