Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09067 | Date 17/12/2020 |
| Token No | SM/20-21/28552 17/12/2020 | Serial | 058 Last Visit: 17/12/2020 |
| Patient Name | Mr. SUBRATA MAJUMDAR | Contact No | 9593534201 |
| Address | SIMALAGAR, GOARA , HOOGHLY | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||