Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05154 | Date 20/05/2019 |
| Token No | SM/19-20/3085 21/05/2019 | Serial | 033 Last Visit: 05/03/2021 |
| Patient Name | Mr. MD ALI | Contact No | 9748924223 |
| Address | RAMCHANDRAPUR, PAHALAMPUR HOOGHLY | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||