Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06476 | Date 20/09/2019 |
| Token No | SM/19-20/10723 20/09/2019 | Serial | 014 Last Visit: 20/09/2019 |
| Patient Name | Mrs. MAMTA DALUI | Contact No | 7278114058 |
| Address | 13 N.N RAY STREET SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||