Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07024 | Date 30/11/2019 |
| Token No | SM/19-20/14358 30/11/2019 | Serial | 032 Last Visit: 05/12/2019 |
| Patient Name | Mr. PACHU NASKAR | Contact No | |
| Address | CHOTOBELU , BELUMILKI HOOGHLY | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||