Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06170 | Date 20/08/2019 |
| Token No | SM/19-20/23830 06/07/2020 | Serial | 072 Last Visit: 19/08/2020 |
| Patient Name | Mrs. RINKU SINGH | Contact No | 8697233879 |
| Address | 167 N.S AVENUE SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||