Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04752 | Date 18/04/2019 |
| Token No | SM/19-20/25039 22/08/2020 | Serial | 008 Last Visit: 07/03/2022 |
| Patient Name | Mrs. RUBI ROY | Contact No | 8478061306 |
| Address | 24 N.N RAY STREET SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||