Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08791 | Date 28/09/2020 |
| Token No | SM/20-21/26099 28/09/2020 | Serial | 034 Last Visit: 28/09/2020 |
| Patient Name | Mr. BISWAJIT MAJHI | Contact No | 9609527068 |
| Address | KALYANBATI, HOOGHLY | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||