Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08074 | Date 13/04/2020 |
| Token No | SM/19-20/21074 13/04/2020 | Serial | 042 Last Visit: 13/04/2020 |
| Patient Name | Mr. JOYDEB KAUR | Contact No | 9211893891 |
| Address | PAHALAMPUR DEY PARA MOUJA LNO-99,SINGUR | Age | 35 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||