Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06415 | Date 16/09/2019 |
| Token No | SM/19-20/11285 30/09/2019 | Serial | 010 Last Visit: 30/09/2019 |
| Patient Name | Mr. SHITAL BAG | Contact No | 7449930803 |
| Address | PASCHIMPARA RAJYADHARPUR, MALLICKPARA HOOGHLY | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||