Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05004 | Date 03/05/2019 |
| Token No | SM/19-20/2103 03/05/2019 | Serial | 007 Last Visit: 08/05/2019 |
| Patient Name | Mrs. SHIKHA METE | Contact No | 8583047812 |
| Address | JAGANNTHPUR. BAMUNARI,HOOGHLY | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||