Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01607 | Date 10/10/2018 |
| Token No | SM/18-19/3749 15/11/2018 | Serial | 044 Last Visit: 02/06/2022 |
| Patient Name | Mrs. CHAMPA MUKHERJEE | Contact No | 9088785339 |
| Address | 5, N.N RAY STREET SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||