Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02993 | Date 14/01/2019 |
| Token No | SM/18-19/6776 14/01/2019 | Serial | 067 Last Visit: 14/01/2019 |
| Patient Name | Mrs. HALIMA BEGUM | Contact No | 9123624709 |
| Address | NASIBPUR, HOOGHLY | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||