Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05778 | Date 15/07/2019 |
| Token No | SM/19-20/6518 15/07/2019 | Serial | 061 Last Visit: 15/07/2019 |
| Patient Name | Miss SONALI RAY | Contact No | 9674469292 |
| Address | 18,N.N.RAY STREET, SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||