Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07014 | Date 29/11/2019 |
| Token No | SM/19-20/14704 05/12/2019 | Serial | 032 Last Visit: 05/12/2019 |
| Patient Name | Mr. RANJIT DAS | Contact No | 9163606925 |
| Address | MOLLASIMLA , HOOGHLY | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||