Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07792 | Date 14/03/2020 |
| Token No | SM/19-20/19638 14/03/2020 | Serial | 041 Last Visit: 23/03/2020 |
| Patient Name | Mr. ARNAB MODAK | Contact No | 7003809573 |
| Address | 53 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 24 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||