Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08512 | Date 09/07/2020 |
| Token No | SM/19-20/23916 09/07/2020 | Serial | 007 Last Visit: 30/07/2020 |
| Patient Name | Mrs. BANANI BANDYOPADHYAY | Contact No | 9830599256 |
| Address | 91 N.S AVENUE SERAMPORE | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||