Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04908 | Date 25/04/2019 |
| Token No | SM/19-20/1646 25/04/2019 | Serial | 032 Last Visit: 02/07/2019 |
| Patient Name | Mrs. ANIMA MONDAL | Contact No | 9874024236 |
| Address | 18 N.N ROY STREET SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||