Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07954 | Date 28/03/2020 |
| Token No | SM/19-20/20446 28/03/2020 | Serial | 033 Last Visit: 28/03/2020 |
| Patient Name | Mr. SANTU DAS | Contact No | 7059586137 |
| Address | 47/31 HARIJAN ROAD,BAIDYBATI(M) | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||