Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05937 | Date 24/07/2019 |
| Token No | SM/19-20/7236 24/07/2019 | Serial | 078 Last Visit: 24/07/2019 |
| Patient Name | Mrs. GANGA JHA | Contact No | |
| Address | N.N RAY STREET SERAMPORE | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||