Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08792 | Date 28/09/2020 |
| Token No | SM/20-21/26100 28/09/2020 | Serial | 035 Last Visit: 28/09/2020 |
| Patient Name | Mrs. PUJA MAJHI | Contact No | 9609527068 |
| Address | KALYANBATI, HOOGHLY | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||