Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00802 | Date 29/08/2018 |
| Token No | SM/18-19/3545 12/11/2018 | Serial | 023 Last Visit: 02/05/2020 |
| Patient Name | Mrs. MITA MAJUMDER | Contact No | 9051417513 |
| Address | 59 N NROY STREET | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||