Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07653 | Date 27/02/2020 |
| Token No | SM/19-20/18787 27/02/2020 | Serial | 075 Last Visit: 27/02/2020 |
| Patient Name | Mrs. SHILA KOLEY | Contact No | 9007212021 |
| Address | DIARA , HOOGHLY | Age | 63 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||