Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03315 | Date 02/02/2019 |
| Token No | SM/19-20/14295 29/11/2019 | Serial | 064 Last Visit: 08/07/2022 |
| Patient Name | Mrs. SHRABANI ROY | Contact No | 8820235149 |
| Address | 49 N N ROY STREET,SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||