Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07582 | Date 19/02/2020 |
| Token No | SM/19-20/18638 25/02/2020 | Serial | 038 Last Visit: 29/02/2020 |
| Patient Name | Mr. SUDEB DUTTA | Contact No | 7688038087 |
| Address | PAHALAMPUR,HOOGHLY, | Age | 23 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||