Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02284 | Date 03/12/2018 |
| Token No | SM/19-20/2321 08/05/2019 | Serial | 012 Last Visit: 13/07/2019 |
| Patient Name | Mrs. APARNA PANJA | Contact No | 9732323048 |
| Address | VILL-MOHANBATI , POST-KAIKALA, HARIPAL , HOOGHLY | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||