Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00068 | Date 02/08/2018 |
| Token No | SM/22-23/20018 24/01/2023 | Serial | 053 Last Visit: 14/07/2023 |
| Patient Name | Mr. MONIR MALLICK | Contact No | 9681380682 |
| Address | KESHABPUR, ARAMBAGH, HOOGHLY | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||