Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07287 | Date 06/01/2020 |
| Token No | SM/19-20/23242 19/06/2020 | Serial | 005 Last Visit: 25/08/2022 |
| Patient Name | Mr. BIMAL DAS | Contact No | 9475493170 |
| Address | MOLLASIMLA , HOOGHLY | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||