Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09814 | Date 07/07/2021 |
| Token No | SM/21-22/3122 13/07/2021 | Serial | 029 Last Visit: 13/07/2021 |
| Patient Name | Miss ANUSHREE GHOSH | Contact No | 9163730084 |
| Address | 52/25 RAMKRISHNA ROAD SERAMPORE | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||