Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06748 | Date 23/10/2019 |
| Token No | SM/19-20/12301 23/10/2019 | Serial | 039 Last Visit: 13/11/2019 |
| Patient Name | Mr. KARUNDEB DAS | Contact No | |
| Address | PIARAPUR (P), HOOGHLY | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||