Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00655 | Date 23/08/2018 |
| Token No | SM/18-19/3878 19/11/2018 | Serial | 045 Last Visit: 06/02/2020 |
| Patient Name | Mrs. NAMITA DAS | Contact No | 9874223081 |
| Address | 24, ROY GHAT LANE SERAMPORE (M) | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 180/110 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||