Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08331 | Date 10/06/2020 |
| Token No | SM/19-20/22938 10/06/2020 | Serial | 023 Last Visit: 10/06/2020 |
| Patient Name | Mrs. REBA RAY | Contact No | |
| Address | 42 N.N ROY STREET SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||