Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02118 | Date 26/11/2018 |
| Token No | SM/19-20/15635 20/12/2019 | Serial | 004 Last Visit: 19/09/2022 |
| Patient Name | Mrs. PUSPA DEY | Contact No | 9874542764 |
| Address | 132, N.S AVENUE SERAMPORE | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||