Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04957 | Date 27/04/2019 |
| Token No | SM/19-20/1844 27/04/2019 | Serial | 093 Last Visit: 27/04/2019 |
| Patient Name | Mrs. SUPRIYA MONDAL | Contact No | 8967890584 |
| Address | 24 N.N. RAY STREET SERAMPORE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||