Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04969 | Date 29/04/2019 |
| Token No | SM/19-20/16637 13/01/2020 | Serial | 039 Last Visit: 13/01/2020 |
| Patient Name | Mr. RADHA KANTA GHOSH | Contact No | 8420676241 |
| Address | 27 CHAKRABORTY LANE SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||