Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05164 | Date 20/05/2019 |
| Token No | SM/19-20/3033 20/05/2019 | Serial | 081 Last Visit: 20/05/2019 |
| Patient Name | Mrs. KRIPA MALIK | Contact No | 7278788317 |
| Address | PAHALAMPUR SIGUR HOOGHLY | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||