Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05803 | Date 17/07/2019 |
| Token No | SM/19-20/6647 17/07/2019 | Serial | 019 Last Visit: 17/07/2019 |
| Patient Name | Mr. RASID MALLIK | Contact No | 9748924223 |
| Address | RAMCHANDRAPUR,PAHALAMPUR,HOOGHLY | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||