Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04682 | Date 12/04/2019 |
| Token No | SM/19-20/955 16/04/2019 | Serial | 071 Last Visit: 24/05/2022 |
| Patient Name | Mrs. AYANTIKA SEN | Contact No | 9874444812 |
| Address | 143 N.S AVENUE SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||