Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06573 | Date 30/09/2019 |
| Token No | SM/19-20/11277 30/09/2019 | Serial | 002 Last Visit: 30/09/2019 |
| Patient Name | Mrs. LAKHI BENERJEE | Contact No | 9088062478 |
| Address | GOBINDAPUR,HOOGHLY,DIYARA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||