Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07137 | Date 12/12/2019 |
| Token No | SM/19-20/15153 12/12/2019 | Serial | 073 Last Visit: 12/12/2019 |
| Patient Name | Mrs. MAINA GHOSH | Contact No | 9830772510 |
| Address | 61 MUKHERJEE PARA SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||