Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05042 | Date 08/05/2019 |
| Token No | SM/19-20/2383 08/05/2019 | Serial | 074 Last Visit: 08/05/2019 |
| Patient Name | Miss RAKHI ROY | Contact No | |
| Address | 56 N.N ROY STREET SERAMPORE | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||