Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05606 | Date 28/06/2019 |
| Token No | SM/19-20/5760 02/07/2019 | Serial | 050 Last Visit: 16/10/2019 |
| Patient Name | Mr. SHITAL MALIK | Contact No | 8478096643 |
| Address | NASIBPUR HOOGHLY | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||