Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05849 | Date 19/07/2019 |
| Token No | SM/19-20/6866 19/07/2019 | Serial | 056 Last Visit: 25/06/2020 |
| Patient Name | Mrs. MAMONI BIBI | Contact No | 8013311471 |
| Address | 1 DR. CHATTERJEE BEY LANE,SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 71.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||