Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06069 | Date 06/08/2019 |
| Token No | SM/19-20/8031 06/08/2019 | Serial | 052 Last Visit: 09/05/2020 |
| Patient Name | Mrs. BHARATI CHAKRABORTY | Contact No | |
| Address | SDO BUNGALOW, SERAMPORE HOOGHLY | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||