Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05681 | Date 06/07/2019 |
| Token No | SM/19-20/5946 06/07/2019 | Serial | 009 Last Visit: 08/07/2019 |
| Patient Name | Mrs. SANATANA PAUL | Contact No | 9432804204 |
| Address | 135 N.S AVENUE SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||