Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05084 | Date 13/05/2019 |
| Token No | SM/19-20/2608 13/05/2019 | Serial | 019 Last Visit: 31/05/2019 |
| Patient Name | Mrs. MIRA KARAK | Contact No | 9088897603 |
| Address | CHAKPAHALAMPUR , PAHALAMPUR HOOGHLY | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||