Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07435 | Date 28/01/2020 |
| Token No | SM/19-20/17345 28/01/2020 | Serial | 038 Last Visit: 28/01/2020 |
| Patient Name | Mrs. SURAIYA BEGAM | Contact No | 7044505334 |
| Address | JAGANNATHBATI HOOGHLY | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||