Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08570 | Date 21/07/2020 |
| Token No | SM/19-20/24295 21/07/2020 | Serial | 010 Last Visit: 29/09/2020 |
| Patient Name | Mrs. JAGARATI CHOWDHURY | Contact No | |
| Address | 10 MAHATMA GANDHI ROAD SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||