Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07966 | Date 30/03/2020 |
| Token No | SM/19-20/20485 30/03/2020 | Serial | 036 Last Visit: 27/07/2020 |
| Patient Name | Mr. SUPRIYO MANNA | Contact No | 8420352665 |
| Address | 17A/1,CHATRA BAZAR ROAD CHATRA SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||