Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06614 | Date 14/10/2019 |
| Token No | SM/19-20/12080 19/10/2019 | Serial | 029 Last Visit: 25/10/2019 |
| Patient Name | Mrs. SHOBHA KHAN | Contact No | 9932918422 |
| Address | BHAIRABPUR,MAHANAD,HOOGHLY, | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||