Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07259 | Date 31/12/2019 |
| Token No | SM/19-20/16066 31/12/2019 | Serial | 008 Last Visit: 27/01/2020 |
| Patient Name | Mr. SHANTI ,MALLICK | Contact No | 9830305309 |
| Address | PAHLAMPUR, HOOGHLY | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||