Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08752 | Date 18/09/2020 |
| Token No | SM/20-21/25785 18/09/2020 | Serial | 035 Last Visit: 18/09/2020 |
| Patient Name | Mrs. MITHU SOM | Contact No | 9007219926 |
| Address | PAHALAMPUR,HOOGHLY, | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||