Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07910 | Date 24/03/2020 |
| Token No | SM/19-20/20220 24/03/2020 | Serial | 041 Last Visit: 24/03/2020 |
| Patient Name | Mr. DEB KUMAR GHOSH | Contact No | 9830122216 |
| Address | 4 RAJA K.L GOSWAMI STREET SERAMPORE | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||