Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08032 | Date 06/04/2020 |
| Token No | SM/19-20/20811 06/04/2020 | Serial | 062 Last Visit: 06/04/2020 |
| Patient Name | Mr. SANJOY DAS | Contact No | 9635421745 |
| Address | PAMPA NAGAR CHATRA BAIDYABATI M | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||