Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04881 | Date 24/04/2019 |
| Token No | SM/19-20/1540 24/04/2019 | Serial | 010 Last Visit: 26/04/2019 |
| Patient Name | Mr. TAPAN PAL | Contact No | 9343423367 |
| Address | CHAKPAHALAMPUR PAHALAMPUR, HOOGHLY | Age | 42 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||