Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07090 | Date 06/12/2019 |
| Token No | SM/19-20/16298 07/01/2020 | Serial | 006 Last Visit: 30/10/2021 |
| Patient Name | Mr. DILIP DUTTA | Contact No | 9874262013 |
| Address | PAHALAMPUR , HOOGHLY | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||