Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07554 | Date 15/02/2020 |
| Token No | SM/19-20/18147 15/02/2020 | Serial | 046 Last Visit: 15/02/2020 |
| Patient Name | Mr. LAKHI MONDAL | Contact No | 7980059221 |
| Address | 31/A BARA BAGAN LANE MALLICKPARA , SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||