Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07243 | Date 28/12/2019 |
| Token No | SM/19-20/16239 06/01/2020 | Serial | 035 Last Visit: 06/01/2020 |
| Patient Name | Mrs. MIRA DHUL | Contact No | 8820742677 |
| Address | MALLICKPARA, SERAMPORE | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||