Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08751 | Date 18/09/2020 |
| Token No | SM/20-21/28094 04/12/2020 | Serial | 045 Last Visit: 11/03/2022 |
| Patient Name | Mr. MANISHANKAR DE | Contact No | 9231612806 |
| Address | PAHALAMPUR,HOOGHLY, | Age | 47 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||