Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06317 | Date 03/09/2019 |
| Token No | SM/19-20/9698 03/09/2019 | Serial | 009 Last Visit: 03/01/2020 |
| Patient Name | Mrs. SUMITA PAKIRA | Contact No | 9874049368 |
| Address | PAHALAMPUR DIARA, HOOGHLY | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||