Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06216 | Date 24/08/2019 |
| Token No | SM/19-20/9073 24/08/2019 | Serial | 050 Last Visit: 06/03/2020 |
| Patient Name | Mrs. TANUBALA GHOSH | Contact No | 9748508244 |
| Address | MALIA , HOOGHLY | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||