Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07725 | Date 06/03/2020 |
| Token No | SM/19-20/19234 06/03/2020 | Serial | 059 Last Visit: 06/03/2020 |
| Patient Name | Mr. SUJIT PALCHINA | Contact No | 6254644696 |
| Address | CHOTO BELUR CHECK POST SERAMPORE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||