Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06360 | Date 09/09/2019 |
| Token No | SM/19-20/10020 09/09/2019 | Serial | 024 Last Visit: 11/09/2019 |
| Patient Name | Mrs. ARA SHAMIM | Contact No | |
| Address | BHUNIPARA BELUN HOOGHLY 712149[CHATRA MUSALMAN PARA] | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||