Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07805 | Date 16/03/2020 |
| Token No | SM/19-20/19694 16/03/2020 | Serial | 018 Last Visit: 16/03/2020 |
| Patient Name | Mr. WARIS HOSSAIN | Contact No | |
| Address | PAHALAMPUR, SINGUR HOOGHLY | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||