Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07229 | Date 26/12/2019 |
| Token No | SM/19-20/15916 26/12/2019 | Serial | 047 Last Visit: 04/02/2020 |
| Patient Name | Mrs. MUMTAJ BANU | Contact No | 8017662327 |
| Address | 57 N.N ROY STREET SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||