Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06380 | Date 12/09/2019 |
| Token No | SM/19-20/10193 12/09/2019 | Serial | 011 Last Visit: 12/09/2019 |
| Patient Name | Mrs. PINKI RUIDAS | Contact No | 9163632551 |
| Address | JALAGHATA, HOOGHLY, SINGUR | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||