Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01981 | Date 15/11/2018 |
| Token No | SM/18-19/4181 26/11/2018 | Serial | 054 Last Visit: 08/05/2019 |
| Patient Name | Mrs. BAISHAKHI DHARA | Contact No | 9903252389 |
| Address | BARUIPARA , HOOGHLY | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||