Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03317 | Date 02/02/2019 |
| Token No | SM/19-20/8353 10/08/2019 | Serial | 074 Last Visit: 30/09/2021 |
| Patient Name | Miss KARABI KOLEY | Contact No | 9830738562 |
| Address | 15 ROY GHAT LANE, SERAMPORE | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||