Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00410 | Date 13/08/2018 |
| Token No | SM/18-19/10869 19/03/2019 | Serial | 062 Last Visit: 26/04/2021 |
| Patient Name | Mrs. REHANA BIBI | Contact No | 7044143370 |
| Address | BARABELU, BELMILKI,HOOGHLY, | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||