Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09131 | Date 06/01/2021 |
| Token No | SM/20-21/29083 06/01/2021 | Serial | 016 Last Visit: 06/01/2021 |
| Patient Name | Mr. KAMAL BANERJEE | Contact No | 8910720543 |
| Address | NASIBPUR, HOOGHLY | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||