Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02953 | Date 10/01/2019 |
| Token No | SM/18-19/6642 10/01/2019 | Serial | 069 Last Visit: 10/01/2019 |
| Patient Name | Mr. KRISHNA CHANDRA MAL | Contact No | 9804997930 |
| Address | GOBINDAPUR DIARA , HOOGHLY | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||