Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06808 | Date 06/11/2019 |
| Token No | SM/19-20/16809 17/01/2020 | Serial | 030 Last Visit: 05/07/2021 |
| Patient Name | Mr. RAMPIYARI MOHALI | Contact No | 8420603577 |
| Address | PANDIT SATGHARA , MALLICKPARA HOOGHLY | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||