Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02973 | Date 11/01/2019 |
| Token No | SM/18-19/6708 11/01/2019 | Serial | 065 Last Visit: 20/02/2024 |
| Patient Name | Mrs. SONALI ROY | Contact No | 9330668270 |
| Address | 18 N N ROY STREET, SERAMPORE | Age | 25 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||