Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04801 | Date 22/04/2019 |
| Token No | SM/19-20/2361 08/05/2019 | Serial | 052 Last Visit: 10/03/2021 |
| Patient Name | Mrs. PIYALI SI | Contact No | 8972795502 |
| Address | VILL- RUBRAJPUR, POST- CHOPA DIST- HOOGHLY | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||