Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08517 | Date 09/07/2020 |
| Token No | SM/19-20/23943 09/07/2020 | Serial | 034 Last Visit: 09/07/2020 |
| Patient Name | Mr. SOUMEN DAS | Contact No | 7278231699 |
| Address | GHORAMARA (P) MALLICKPARA , HOOGHLY | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||