Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05462 | Date 17/06/2019 |
| Token No | SM/19-20/5809 02/07/2019 | Serial | 099 Last Visit: 23/07/2019 |
| Patient Name | Mr. NIRMAL NAG | Contact No | 8420692744 |
| Address | JAGANNATHPUR BAMUNARI , HOOGHLY | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||