Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07155 | Date 16/12/2019 |
| Token No | SM/19-20/15348 16/12/2019 | Serial | 012 Last Visit: 12/09/2020 |
| Patient Name | Miss SUSMITA KOLEY | Contact No | 8240630273 |
| Address | 59 MUKHERJEE PARA LANE SERAMPORE | Age | 19 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||