Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06145 | Date 19/08/2019 |
| Token No | SM/19-20/8578 19/08/2019 | Serial | 032 Last Visit: 19/08/2019 |
| Patient Name | Mr. TAPAS MAJHI | Contact No | 8839352625 |
| Address | MADPUR MALLICKPARA , HOOGHLY | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||