Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05340 | Date 06/06/2019 |
| Token No | SM/19-20/4054 06/06/2019 | Serial | 030 Last Visit: 05/07/2019 |
| Patient Name | Mrs. KANAN KOLEY | Contact No | 9732335630 |
| Address | 15 RAY GHAT LANE SERAMPORE | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||