Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07619 | Date 24/02/2020 |
| Token No | SM/19-20/18564 24/02/2020 | Serial | 040 Last Visit: 24/02/2020 |
| Patient Name | Mrs. FULKALI DAS | Contact No | 6290064317 |
| Address | 18 N.N RAY STREET SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 180/110 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||