Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07052 | Date 03/12/2019 |
| Token No | SM/19-20/14553 03/12/2019 | Serial | 036 Last Visit: 24/11/2020 |
| Patient Name | Mrs. SABIA PARVEEN | Contact No | 9830338608 |
| Address | SHEAKHALA , HOOGHLY | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||