Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06731 | Date 22/10/2019 |
| Token No | SM/19-20/12226 22/10/2019 | Serial | 049 Last Visit: 02/06/2022 |
| Patient Name | Mrs. SABERA BIBI | Contact No | 9123385478 |
| Address | KALTALA BORO BELU NASIBPUR HOOGHLY | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||