Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05523 | Date 22/06/2019 |
| Token No | SM/19-20/5086 22/06/2019 | Serial | 047 Last Visit: 02/07/2019 |
| Patient Name | Mr. SANJAY BAG | Contact No | 9831740025 |
| Address | PASCHIM PARA DAKSHIN RAJYADHARPUR MALLIKPARA HOOGHLY | Age | 30 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||