Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07459 | Date 03/02/2020 |
| Token No | SM/19-20/17490 03/02/2020 | Serial | 020 Last Visit: 03/02/2020 |
| Patient Name | Mrs. SOMA DEBI | Contact No | 6290967360 |
| Address | 54 MUKHERJEE PARA,, LANE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||