Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06656 | Date 16/10/2019 |
| Token No | SM/21-22/2111 10/06/2021 | Serial | 018 Last Visit: 21/12/2022 |
| Patient Name | Mr. DEBABRATA DE | Contact No | 9830806943 |
| Address | PAHALAMPUR , PAHALAMPUR HOOGHLY | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||