Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06480 | Date 20/09/2019 |
| Token No | SM/19-20/10751 20/09/2019 | Serial | 042 Last Visit: 20/09/2019 |
| Patient Name | Mrs. NAMITA ROY | Contact No | 6291216133 |
| Address | 50 N.N ROY STREET SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 137/80 mmHg | Weight | 75.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||