Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07838 | Date 18/03/2020 |
| Token No | SM/19-20/19874 18/03/2020 | Serial | 048 Last Visit: 18/03/2020 |
| Patient Name | Mrs. KUSUM DUBEY | Contact No | 9836790093 |
| Address | 167 N.S. AVENUE, SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||