Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08626 | Date 04/08/2020 |
| Token No | SM/19-20/24720 04/08/2020 | Serial | 030 Last Visit: 04/08/2020 |
| Patient Name | Mr. RAJU GHOSH | Contact No | 6289222306 |
| Address | DHAKCHARA KAMARGACHI, HOOGHLY | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||