Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08745 | Date 15/09/2020 |
| Token No | SM/20-21/25723 15/09/2020 | Serial | 048 Last Visit: 15/09/2020 |
| Patient Name | Mrs. JAHANARA BEGUM | Contact No | 9330629581 |
| Address | BAROBELU BELUMILKI , HOOGHLY | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||