Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12796 | Date 05/12/2023 |
| Token No | SM/22-23/26769 05/12/2023 | Serial | 027 Last Visit: 05/12/2023 |
| Patient Name | Mr. BISWANATHN KHARA | Contact No | 8100620959 |
| Address | HOOGHLY KRISNAPUR BAZER, HOOGHLY | Age | 60 Years,3 Months,3 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||