Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07636 | Date 26/02/2020 |
| Token No | SM/19-20/18686 26/02/2020 | Serial | 029 Last Visit: 26/02/2020 |
| Patient Name | Mrs. KHURSIDA BEGAM | Contact No | 8481916971 |
| Address | RAMCHANDRAPUR , PAHLANPUR , HOOGHLY | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||