Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08535 | Date 13/07/2020 |
| Token No | SM/20-21/30789 16/03/2021 | Serial | 027 Last Visit: 16/03/2021 |
| Patient Name | Mr. ARUP GHOSH | Contact No | 9836712377 |
| Address | MASHRA, SOMRA, HOOGHLY | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||