Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00056 | Date 02/08/2018 |
| Token No | SM/19-20/4692 17/06/2019 | Serial | 009 Last Visit: 22/03/2023 |
| Patient Name | Mrs. MANA DAS | Contact No | 7890265569 |
| Address | 42 N.S AVENUE SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||