Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07519 | Date 12/02/2020 |
| Token No | SM/19-20/18606 25/02/2020 | Serial | 006 Last Visit: 23/03/2022 |
| Patient Name | Mrs. RIMA PAL | Contact No | 9875354264 |
| Address | POLTA BELPUKUR KRISHNAGAR-II NADIA | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||