Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07803 | Date 14/03/2020 |
| Token No | SM/19-20/24450 25/07/2020 | Serial | 004 Last Visit: 22/09/2020 |
| Patient Name | Mrs. PARBATI BANERJEE | Contact No | 8515953483 |
| Address | SHEAKHALA, HOOGHLY | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||