Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06263 | Date 29/08/2019 |
| Token No | SM/19-20/9375 29/08/2019 | Serial | 016 Last Visit: 29/08/2019 |
| Patient Name | Mrs. DOLI SAHA | Contact No | 9874756797 |
| Address | 1 SERAMPORE ,RAJYADHARPUR,MALLICKPARA, | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||