Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07288 | Date 07/01/2020 |
| Token No | SM/19-20/16296 07/01/2020 | Serial | 004 Last Visit: 07/01/2020 |
| Patient Name | Mr. GAFFAR MALLICK | Contact No | 9088063786 |
| Address | DAKSHIN PARA BANGIHATI MALLICKPARA SERAMPORE | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||