Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08603 | Date 30/07/2020 |
| Token No | SM/19-20/24601 30/07/2020 | Serial | 011 Last Visit: 28/06/2021 |
| Patient Name | Mrs. MOUSUMI GHOSH | Contact No | 8697358578 |
| Address | 15,N.N ROY STREET SERAMPORE | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||