Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07373 | Date 20/01/2020 |
| Token No | SM/19-20/16904 20/01/2020 | Serial | 017 Last Visit: 20/01/2020 |
| Patient Name | Mr. JYOTINDRA NATH DAS | Contact No | 9874945226 |
| Address | 16/A P.N.K B. LANE CHATRA SERAMPORE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||