Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03474 | Date 08/02/2019 |
| Token No | SM/18-19/8349 08/02/2019 | Serial | 075 Last Visit: 08/02/2019 |
| Patient Name | Mrs. RINKI MONDAL | Contact No | 7059114427 |
| Address | 39 N N ROY STREET | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||