Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00938 | Date 05/09/2018 |
| Token No | SM/18-19/1629 13/09/2018 | Serial | 052 Last Visit: 13/09/2018 |
| Patient Name | Mrs. RITA DAS | Contact No | 9903419055 |
| Address | 4TH FLOOR FL-402 - 5, BISWANATH MUKHERJEE LANE SERAMPORE (M) | Age | 62.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||