Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00202 | Date 07/08/2018 |
| Token No | SM/19-20/1021 17/04/2019 | Serial | 028 Last Visit: 17/04/2019 |
| Patient Name | Mrs. MINA CHATTERJEE | Contact No | 9836793680 |
| Address | 12, ROY GHAT LANE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||