Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01157 | Date 15/09/2018 |
| Token No | SM/18-19/1697 15/09/2018 | Serial | 017 Last Visit: 15/09/2018 |
| Patient Name | Mrs. SAMPA MONDAL | Contact No | 9830807994 |
| Address | 166 N.S AVENUE SERAMPORE | Age | 30.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/90 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||