Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02141 | Date 26/11/2018 |
| Token No | SM/19-20/9316 28/08/2019 | Serial | 039 Last Visit: 29/11/2019 |
| Patient Name | Mrs. RAMA MUKHERJEE | Contact No | 8013406886 |
| Address | N.N ROY STREET | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||