Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07397 | Date 22/01/2020 |
| Token No | SM/19-20/17036 22/01/2020 | Serial | 017 Last Visit: 22/01/2020 |
| Patient Name | Mr. SK NAUSAD | Contact No | 7449463407 |
| Address | 5/A MUSALMAN PARA HIGH SCHOOL CHATRA SERAMPORE | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||