Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07825 | Date 17/03/2020 |
| Token No | SM/20-21/26302 05/10/2020 | Serial | 038 Last Visit: 12/11/2021 |
| Patient Name | Mrs. RINA MONDAL | Contact No | 9088411801 |
| Address | HARIPUR DASPARA,SINGUR | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||