Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02250 | Date 30/11/2018 |
| Token No | SM/18-19/4467 30/11/2018 | Serial | 056 Last Visit: 10/01/2020 |
| Patient Name | Mrs. SUNITA DAY | Contact No | 9674547260 |
| Address | 160 N S AVENUE, SERAMPORE | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||