Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06050 | Date 05/08/2019 |
| Token No | SM/19-20/16914 20/01/2020 | Serial | 027 Last Visit: 20/01/2020 |
| Patient Name | Mrs. MALLIKA ROY | Contact No | 9836266510 |
| Address | 18 N.N RAY STREET SERAMPORE | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||