Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05290 | Date 29/05/2019 |
| Token No | SM/19-20/3964 03/06/2019 | Serial | 087 Last Visit: 03/06/2019 |
| Patient Name | Mr. SANJAY BANERJEE | Contact No | 8337078830 |
| Address | KATPARA, CHAMPTA , PANDUA HOOGHLY | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||