Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08514 | Date 09/07/2020 |
| Token No | SM/19-20/24438 24/07/2020 | Serial | 055 Last Visit: 25/08/2021 |
| Patient Name | Mrs. GITA DEY | Contact No | 9903572578 |
| Address | 65 N.N RAY STEET SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||