Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06479 | Date 20/09/2019 |
| Token No | SM/19-20/10744 20/09/2019 | Serial | 035 Last Visit: 20/09/2019 |
| Patient Name | Mr. TUTUL GHOSH | Contact No | 7478339484 |
| Address | DHAG CHARA KAMARGACHI BHALAGAR HOOGHLY | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||