Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08867 | Date 15/10/2020 |
| Token No | SM/20-21/30243 02/03/2021 | Serial | 006 Last Visit: 02/03/2021 |
| Patient Name | Miss RUPASA GUIN | Contact No | 7278885601 |
| Address | 1/1 B DUTTA PARA LANE SERAMPORE CHATRA SERAMPORE | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||