Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04691 | Date 12/04/2019 |
| Token No | SM/19-20/827 12/04/2019 | Serial | 064 Last Visit: 12/04/2019 |
| Patient Name | Mr. KUMAR ESH DEY | Contact No | 6294886201 |
| Address | NIJAMPUR POST- BORA DIST.- HOOGHLY | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||