Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07320 | Date 11/01/2020 |
| Token No | SM/19-20/16548 11/01/2020 | Serial | 008 Last Visit: 11/01/2020 |
| Patient Name | Mrs. RITA DAS | Contact No | 9903235480 |
| Address | CHHOTABAHERA KANIPUR BARABAHERA, HOOGHLY | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||