Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07905 | Date 24/03/2020 |
| Token No | SM/19-20/20210 24/03/2020 | Serial | 031 Last Visit: 01/06/2020 |
| Patient Name | Mr. MITHUN KUNDU | Contact No | 9062067241 |
| Address | 11/A MUSALMAN PARA ROAD,SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||