Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02840 | Date 05/01/2019 |
| Token No | SM/19-20/20441 28/03/2020 | Serial | 028 Last Visit: 03/07/2020 |
| Patient Name | Mr. ANANDA GANGULI | Contact No | 9330973303 |
| Address | 63 THAKUR DAS BABU LANE | Age | 73 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||