Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07318 | Date 11/01/2020 |
| Token No | SM/19-20/19176 06/03/2020 | Serial | 001 Last Visit: 07/03/2020 |
| Patient Name | Mrs. KOHINOOR BIBI | Contact No | 6295131160 |
| Address | RAMCHANDRAPUR PAHALAMPUR, HOOGHLY | Age | 45 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||