Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06305 | Date 02/09/2019 |
| Token No | SM/19-20/13637 20/11/2019 | Serial | 046 Last Visit: 13/01/2020 |
| Patient Name | Mr. SHAKTIPADA PATRA | Contact No | 8900266114 |
| Address | PANISHEOLA , HOOGHLY | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||