Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00234 | Date 08/08/2018 |
| Token No | SM/18-19/250 08/08/2018 | Serial | 016 Last Visit: 11/10/2018 |
| Patient Name | Mrs. MAYA PAL | Contact No | 9830775210 |
| Address | 61, MUKHERJEE PARA LANE | Age | 40.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||