Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04817 | Date 22/04/2019 |
| Token No | SM/19-20/1359 22/04/2019 | Serial | 074 Last Visit: 22/04/2019 |
| Patient Name | Mrs. PAMPA DEY | Contact No | 9062363629 |
| Address | NAITY, HOOGHLY | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||