Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05673 | Date 05/07/2019 |
| Token No | SM/19-20/5916 05/07/2019 | Serial | 079 Last Visit: 19/11/2019 |
| Patient Name | Mrs. NAMITA MONDAL | Contact No | 9836262535 |
| Address | ARAMBAG KALIDANA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||