Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03395 | Date 06/02/2019 |
| Token No | SM/19-20/16837 18/01/2020 | Serial | 005 Last Visit: 18/01/2020 |
| Patient Name | Mr. PRASANTA KARMOKAR | Contact No | 9163947552 |
| Address | 51A/7 BARO BAGAN LANE SERAMPORE | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||