Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07317 | Date 10/01/2020 |
| Token No | SM/19-20/16521 10/01/2020 | Serial | 046 Last Visit: 10/01/2020 |
| Patient Name | Mr. SUJIT RAM | Contact No | 7485685691 |
| Address | RAM NAGAR PURBA PARA , BAIDYBATI | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||