Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07216 | Date 23/12/2019 |
| Token No | SM/19-20/15776 23/12/2019 | Serial | 026 Last Visit: 29/04/2020 |
| Patient Name | Mr. PASUPATI ROY | Contact No | 9903162086 |
| Address | CHOTOBELU, ARABINDA PARK BELUMILKI HOOGHLY | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||