Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09707 | Date 11/06/2021 |
| Token No | SM/21-22/2148 11/06/2021 | Serial | 014 Last Visit: 11/06/2021 |
| Patient Name | Mr. DEBASISH MONDAL | Contact No | 9144066637 |
| Address | PIASARA,BASURI,HOOGHLY, | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||