Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07763 | Date 12/03/2020 |
| Token No | SM/19-20/20064 21/03/2020 | Serial | 020 Last Visit: 21/03/2020 |
| Patient Name | Mr. SOURAB DAS | Contact No | 8017539878 |
| Address | 9 SIDDHESWARI LANE SIDDHESWARI MANDIR CHATRA SERAMPORE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||