Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02889 | Date 08/01/2019 |
| Token No | SM/18-19/7460 25/01/2019 | Serial | 050 Last Visit: 20/09/2019 |
| Patient Name | Mrs. SANDHA PATRA | Contact No | 8777797153 |
| Address | 19 N N ROY STREET SERAMPORE | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||