Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00804 | Date 29/08/2018 |
| Token No | SM/19-20/11714 14/10/2019 | Serial | 108 Last Visit: 28/05/2022 |
| Patient Name | Mr. SOUVIK PANDA | Contact No | 9433125738 |
| Address | SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||