Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07412 | Date 24/01/2020 |
| Token No | SM/19-20/17137 24/01/2020 | Serial | 052 Last Visit: 24/01/2020 |
| Patient Name | Mrs. SAGARI DAS | Contact No | 9073753452 |
| Address | 107 MOUZA TALIBPUR MIRPARA SALAR, MURSHIDABAD | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||