Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07279 | Date 06/01/2020 |
| Token No | SM/19-20/17565 04/02/2020 | Serial | 002 Last Visit: 04/02/2020 |
| Patient Name | Mrs. GAYATRI ROY | Contact No | 8820586733 |
| Address | SAPUIPARA SOUTH SANTINAGAR GHOSHPARA HAORA | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||