Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07559 | Date 17/02/2020 |
| Token No | SM/19-20/18219 17/02/2020 | Serial | 043 Last Visit: 17/02/2020 |
| Patient Name | Mr. NAZIMUDDIN MALLICK | Contact No | 9062883213 |
| Address | RAMCHANDRAPUR , PAHALAMPUR, HOOGHLY | Age | 30 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||