Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06256 | Date 28/08/2019 |
| Token No | SM/19-20/9347 28/08/2019 | Serial | 070 Last Visit: 28/08/2019 |
| Patient Name | Miss SWARNALIPI BANERJEE | Contact No | 9831950426 |
| Address | 102, N.S AVENUE SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||