Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05373 | Date 10/06/2019 |
| Token No | SM/21-22/3693 02/08/2021 | Serial | 039 Last Visit: 28/03/2022 |
| Patient Name | Mrs. SULEKHA DHARA | Contact No | 9830884356 |
| Address | PATUL.RAGHABPUR BIGHATI HOOGHLY | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||