Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07244 | Date 28/12/2019 |
| Token No | SM/19-20/18950 29/02/2020 | Serial | 051 Last Visit: 19/05/2020 |
| Patient Name | Mrs. SULATA PAL | Contact No | 8274894294 |
| Address | PURUSOTTAMPUR, MOLLASIMLA, HOOGHLY | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||