Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08916 | Date 29/10/2020 |
| Token No | SM/20-21/29191 08/01/2021 | Serial | 029 Last Visit: 08/01/2021 |
| Patient Name | Mrs. CHANDA KHATOON | Contact No | 7603005119 |
| Address | 23 DR TARA PRASANNA BHATTACHARYYA STREET | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||