Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07102 | Date 07/12/2019 |
| Token No | SM/19-20/14849 07/12/2019 | Serial | 016 Last Visit: 07/12/2019 |
| Patient Name | Mrs. SHAILI BALA SARDAR | Contact No | 7439412812 |
| Address | PASCHIM PARA DAKSHIN RAJYADHARPUR MALLICKPARA , SERAMPORE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||