Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07792 | Date 14/03/2020 |
| Token No | SM/19-20/20161 23/03/2020 | Serial | 056 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, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||