Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05695 | Date 08/07/2019 |
| Token No | SM/19-20/14233 29/11/2019 | Serial | 002 Last Visit: 15/03/2021 |
| Patient Name | Mr. SAMIT CHATTERJEE | Contact No | 7980352686 |
| Address | NASIBPUR HOOGHLY | Age | 35 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||