Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06878 | Date 15/11/2019 |
| Token No | SM/19-20/13336 15/11/2019 | Serial | 069 Last Visit: 15/11/2019 |
| Patient Name | Mrs. SUJATA PATRA | Contact No | 9635690483 |
| Address | AMGACHI ,JEJUR HARIPAL, HOOGHLY | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||