Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04882 | Date 24/04/2019 |
| Token No | SM/19-20/2606 13/05/2019 | Serial | 017 Last Visit: 28/08/2020 |
| Patient Name | Mr. SAMIR KARAK | Contact No | 9088551930 |
| Address | CHAKPAHALAMPUR PAHALAMPUR, HOOGHLY | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||