Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07228 | Date 26/12/2019 |
| Token No | SM/19-20/17606 04/02/2020 | Serial | 043 Last Visit: 04/02/2020 |
| Patient Name | Mrs. SAIBUN BIBI | Contact No | 8017662327 |
| Address | 57 N.N ROY STREET SERAMPORE | Age | 83 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||