Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06444 | Date 17/09/2019 |
| Token No | SM/19-20/11824 16/10/2019 | Serial | 042 Last Visit: 16/10/2019 |
| Patient Name | Mrs. ARATI RAKSHIT | Contact No | 9831690114 |
| Address | CHOTO BELU BELUMILKI , HOOGHLY | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||