Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08163 | Date 28/04/2020 |
| Token No | SM/19-20/21660 28/04/2020 | Serial | 009 Last Visit: 28/04/2020 |
| Patient Name | Mr. SURJAY MAITRA | Contact No | |
| Address | DIARA,HOOGHLY,SINGUR | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||