Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06794 | Date 05/11/2019 |
| Token No | SM/19-20/12708 05/11/2019 | Serial | 082 Last Visit: 28/02/2020 |
| Patient Name | Mr. SK FARUK | Contact No | 9339546886 |
| Address | MOLLASIMLA , HOOGHLY | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||