Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05872 | Date 20/07/2019 |
| Token No | SM/19-20/6974 20/07/2019 | Serial | 077 Last Visit: 20/07/2019 |
| Patient Name | Mrs. MANU GHOSH | Contact No | |
| Address | CHOTO BELU ,BELUMILKI | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||