Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06901 | Date 19/11/2019 |
| Token No | SM/19-20/13512 19/11/2019 | Serial | 009 Last Visit: 25/09/2021 |
| Patient Name | Mr. MADHUSUDAN DUTTA | Contact No | 9804976466 |
| Address | PAHALAMPUR, HOOGHLY-712223 | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||