Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05153 | Date 20/05/2019 |
| Token No | SM/19-20/16541 11/01/2020 | Serial | 001 Last Visit: 24/01/2020 |
| Patient Name | Mr. MARUF RAHAMAN | Contact No | 9748924223 |
| Address | RAMCHANDRAPUR, PAHALAMPUR HOOGHLY | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||