Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09237 | Date 01/02/2021 |
| Token No | SM/21-22/3913 09/08/2021 | Serial | 063 Last Visit: 09/08/2021 |
| Patient Name | Mr. MERAJ MALLICK | Contact No | 8942947422 |
| Address | KESHABPUR ARAMBAGH, HOOGHLY | Age | 40 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||