Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07778 | Date 13/03/2020 |
| Token No | SM/19-20/19561 13/03/2020 | Serial | 035 Last Visit: 13/03/2020 |
| Patient Name | Mrs. SUCHITRA GHOSH | Contact No | 8918087570 |
| Address | SIGUR,PAHALAMPUR,HOOGHLY | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||