Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07053 | Date 03/12/2019 |
| Token No | SM/19-20/14578 03/12/2019 | Serial | 061 Last Visit: 03/12/2019 |
| Patient Name | Mrs. RADHARANI GHOSH | Contact No | 8981587064 |
| Address | GOBINDAPUR , DIARA | Age | 82 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||