Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03834 | Date 23/02/2019 |
| Token No | SM/18-19/9359 23/02/2019 | Serial | 045 Last Visit: 18/09/2019 |
| Patient Name | Mrs. SIKHA BISWAS | Contact No | 9836887894 |
| Address | 10/A/1 M.G ROAD SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||