Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02424 | Date 08/12/2018 |
| Token No | SM/18-19/4936 08/12/2018 | Serial | 063 Last Visit: 18/09/2020 |
| Patient Name | Mrs. KAMLA GHOSH | Contact No | |
| Address | 18, N.N ROY STREET SERAMPORE | Age | 72 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||