Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04421 | Date 27/03/2019 |
| Token No | SM/20-21/26205 01/10/2020 | Serial | 031 Last Visit: 14/10/2020 |
| Patient Name | Mrs. TANUJA DEY | Contact No | 8910039232 |
| Address | 132 N.S AVENUE SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||