Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07357 | Date 17/01/2020 |
| Token No | SM/19-20/16805 17/01/2020 | Serial | 026 Last Visit: 17/01/2020 |
| Patient Name | Mrs. NAMITA PATRA | Contact No | 9933328367 |
| Address | PANISHEOLA , HOOGHLY | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||