Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00778 | Date 28/08/2018 |
| Token No | SM/20-21/30596 10/03/2021 | Serial | 034 Last Visit: 10/03/2021 |
| Patient Name | Mrs. URMILA KARWAL | Contact No | 9748054734 |
| Address | 39 N. N ROY STREET SERAMPORE, HOOGHLY | Age | 60 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||