Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03331 | Date 02/02/2019 |
| Token No | SM/18-19/7889 02/02/2019 | Serial | 078 Last Visit: 30/07/2019 |
| Patient Name | Mr. SUFAL GHOSH | Contact No | 9748609225 |
| Address | VILL- GOBINDAPUR, POST-DIARA, DIST- HOOGHLY | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||