Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06258 | Date 28/08/2019 |
| Token No | SM/19-20/9351 28/08/2019 | Serial | 074 Last Visit: 28/08/2019 |
| Patient Name | Mrs. VARSHA SAHA | Contact No | 9830322666 |
| Address | 12 ROY GHAT LANE SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||