Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08681 | Date 28/08/2020 |
| Token No | SM/21-22/5582 28/09/2021 | Serial | 014 Last Visit: 11/03/2022 |
| Patient Name | Mrs. SANDHYA DE | Contact No | 9231612806 |
| Address | PAHALAMPUR,HOOGHLY, | Age | 74 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||