Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07258 | Date 31/12/2019 |
| Token No | SM/19-20/16891 20/01/2020 | Serial | 004 Last Visit: 10/12/2020 |
| Patient Name | Mr. TARUN DUTTA | Contact No | 8583861527 |
| Address | PAHLAMPUR, HOOGHLY | Age | 47 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||