Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04803 | Date 22/04/2019 |
| Token No | SM/19-20/19103 04/03/2020 | Serial | 077 Last Visit: 19/08/2020 |
| Patient Name | Mrs. PRATIMA SANTRA | Contact No | 7551867383 |
| Address | 18 N.N RAY STREET SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||