Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07717 | Date 05/03/2020 |
| Token No | SM/19-20/19154 05/03/2020 | Serial | 035 Last Visit: 05/03/2020 |
| Patient Name | Mrs. SUNITA DEY | Contact No | |
| Address | KAIKALA HOOGHLY | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||