Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07050 | Date 03/12/2019 |
| Token No | SM/19-20/14533 03/12/2019 | Serial | 016 Last Visit: 04/05/2020 |
| Patient Name | Mr. MD ABUBAKAR | Contact No | 9903263458 |
| Address | BANGIHATI DAKSHIN PARA, HOOGHLY | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||