Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02344 | Date 05/12/2018 |
| Token No | SM/18-19/4680 05/12/2018 | Serial | 004 Last Visit: 05/12/2018 |
| Patient Name | Mrs. SONALI MUKHERJEE | Contact No | 8240286780 |
| Address | 76 N N ROY STREET | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||