Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08763 | Date 21/09/2020 |
| Token No | SM/21-22/6763 12/11/2021 | Serial | 037 Last Visit: 18/02/2022 |
| Patient Name | Mr. ARUN GHOSH | Contact No | 9433166961 |
| Address | DIARA , SINGUR HOOGHLY | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||