Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00284 | Date 09/08/2018 |
| Token No | SM/18-19/307 09/08/2018 | Serial | 038 Last Visit: 09/08/2018 |
| Patient Name | Mrs. TINA RAY | Contact No | |
| Address | 18, N.N ROY STREET , SERAMPORE | Age | 12.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||