Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03288 | Date 01/02/2019 |
| Token No | SM/18-19/7777 01/02/2019 | Serial | 053 Last Visit: 01/02/2019 |
| Patient Name | Mrs. PUSPA PATRA | Contact No | 9804704256 |
| Address | 134/A N S EVENU, SERAMPORE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||