Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03603 | Date 15/02/2019 |
| Token No | SM/18-19/8772 15/02/2019 | Serial | 060 Last Visit: 15/02/2019 |
| Patient Name | Mrs. MAMTA SING | Contact No | 9674873288 |
| Address | 33 N S EVENU,SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||