Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04423 | Date 27/03/2019 |
| Token No | SM/19-20/19355 11/03/2020 | Serial | 018 Last Visit: 11/03/2020 |
| Patient Name | Mr. PRAKASH CH. DAS | Contact No | 9830534834 |
| Address | 29 CHATRA DHARMOTALA LANE ,SERAMPORE | Age | 69 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||