Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01731 | Date 29/10/2018 |
| Token No | SM/19-20/24645 31/07/2020 | Serial | 018 Last Visit: 31/07/2020 |
| Patient Name | Mrs. KAJAL DEVI | Contact No | 8017057792 |
| Address | 10, M.G ROAD, SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||