Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05079 | Date 13/05/2019 |
| Token No | SM/19-20/2593 13/05/2019 | Serial | 004 Last Visit: 27/05/2019 |
| Patient Name | Mrs. RAFIJA BEGAM | Contact No | 9903943603 |
| Address | RAMCHANDRAPUR PAHALAMPUR HOOGHLY | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||