Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08484 | Date 06/07/2020 |
| Token No | SM/19-20/23786 06/07/2020 | Serial | 028 Last Visit: 06/07/2020 |
| Patient Name | Mr. SISIR MAL | Contact No | 9434563935 |
| Address | DIARA HOOGHLY SINGUR | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||