Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09140 | Date 07/01/2021 |
| Token No | SM/20-21/29151 07/01/2021 | Serial | 045 Last Visit: 07/01/2021 |
| Patient Name | Mrs. MOUSUMI GHOSH | Contact No | 7439553443 |
| Address | 59 N N ROY STREET SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||