Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07453 | Date 01/02/2020 |
| Token No | SM/19-20/17469 01/02/2020 | Serial | 080 Last Visit: 01/02/2020 |
| Patient Name | Mr. TUSHAR KANTI KHAN | Contact No | 8017937207 |
| Address | 39 CHATRA BARUI PARA LANE SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||