Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06051 | Date 05/08/2019 |
| Token No | SM/19-20/21833 02/05/2020 | Serial | 015 Last Visit: 02/05/2020 |
| Patient Name | Mrs. ANITA KALWAR | Contact No | 9748054734 |
| Address | 39 N. N ROY STREET SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||