Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06384 | Date 12/09/2019 |
| Token No | SM/19-20/10889 23/09/2019 | Serial | 016 Last Visit: 18/10/2019 |
| Patient Name | Mr. SANATAN DAS | Contact No | 7998590085 |
| Address | MOLLASIMLA, DIARA HOOGHLY | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||