Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07779 | Date 13/03/2020 |
| Token No | SM/19-20/19562 13/03/2020 | Serial | 036 Last Visit: 13/03/2020 |
| Patient Name | Mr. SANTOSH GHOSH | Contact No | 8918087570 |
| Address | SINGUR,PAHALAMPUR,HOOGHLY | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||