Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00468 | Date 16/08/2018 |
| Token No | SM/19-20/11596 12/10/2019 | Serial | 011 Last Visit: 12/10/2019 |
| Patient Name | Mrs. SHILPI BANIK | Contact No | 9433976003 |
| Address | 13, ROY GHAT LANE , SERAMPORE | Age | 41.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||