Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06938 | Date 21/11/2019 |
| Token No | SM/19-20/15251 14/12/2019 | Serial | 016 Last Visit: 21/03/2020 |
| Patient Name | Mr. AMIT SAHA | Contact No | 9051089621 |
| Address | 18C SARAT CHATTERJEE ROAD, NABAGRAM | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||