Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04406 | Date 26/03/2019 |
| Token No | SM/19-20/2395 08/05/2019 | Serial | 086 Last Visit: 28/02/2023 |
| Patient Name | Mrs. MAYA RAY | Contact No | 9681074828 |
| Address | 56 N.N ROY STREET SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||