Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02871 | Date 07/01/2019 |
| Token No | SM/18-19/6404 07/01/2019 | Serial | 058 Last Visit: 19/08/2020 |
| Patient Name | Mrs. PINKY DAS | Contact No | 8420069112 |
| Address | 47/1 MUKHERJEE PARA, SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||