Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05433 | Date 14/06/2019 |
| Token No | SM/19-20/4572 14/06/2019 | Serial | 047 Last Visit: 20/06/2019 |
| Patient Name | Miss ISHA DHARA | Contact No | 9903748678 |
| Address | PATUL RAGHABPUR,BIGHATI,HOOGHLY | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||