Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07196 | Date 20/12/2019 |
| Token No | SM/19-20/15641 20/12/2019 | Serial | 010 Last Visit: 22/07/2020 |
| Patient Name | Mrs. SUSHAMA MAL | Contact No | |
| Address | PAHALAMPUR, HOOGHLY | Age | 58 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||