Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10629 | Date 07/02/2022 |
| Token No | SM/21-22/9831 14/02/2022 | Serial | 007 Last Visit: 14/02/2022 |
| Patient Name | Mr. HRISHIKESH DUTTA | Contact No | 8013656596 |
| Address | PAHALAMPUR,HOOGHLY | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||