Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05166 | Date 20/05/2019 |
| Token No | SM/19-20/3037 20/05/2019 | Serial | 085 Last Visit: 20/05/2019 |
| Patient Name | Mr. SUDIP MALIK | Contact No | 8013930693 |
| Address | PAHALAMPUR , HOOGHLY | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||