Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06238 | Date 27/08/2019 |
| Token No | SM/19-20/9471 30/08/2019 | Serial | 043 Last Visit: 30/08/2019 |
| Patient Name | Mrs. TRINA GHOSH | Contact No | 8482022784 |
| Address | 3 MUSALMAN PARA SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||