Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03332 | Date 02/02/2019 |
| Token No | SM/18-19/7890 02/02/2019 | Serial | 079 Last Visit: 30/07/2019 |
| Patient Name | Mrs. JHARNA GHOSH | Contact No | 9748609225 |
| Address | VILL- GOBINDAPUR, POST-DIARA, DIST- HOOGHLY | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||