Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07994 | Date 02/04/2020 |
| Token No | SM/19-20/20628 02/04/2020 | Serial | 007 Last Visit: 02/04/2020 |
| Patient Name | Mr. SAILENDRA KUMAR ROY | Contact No | 8621892920 |
| Address | 9 RAMSITA LINE JUTEMILL SERAMPORE | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||