Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01979 | Date 15/11/2018 |
| Token No | SM/18-19/3736 15/11/2018 | Serial | 031 Last Visit: 15/11/2018 |
| Patient Name | Mrs. BHADRA BAIRAGI | Contact No | 8016935174 |
| Address | NATUANGRAM, BAJITPUR, HOOGHLY, TARKESWAR | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||