Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01963 | Date 14/11/2018 |
| Token No | SM/18-19/3684 14/11/2018 | Serial | 073 Last Visit: 24/03/2021 |
| Patient Name | Mrs. MONOARA BIBE | Contact No | 9903656826 |
| Address | 16 B GOPINATH SHA STREET, SERAMPORE | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||