Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08078 | Date 13/04/2020 |
| Token No | SM/19-20/21108 13/04/2020 | Serial | 076 Last Visit: 13/04/2020 |
| Patient Name | Mr. SOUGATA SARKAR | Contact No | 6289045665 |
| Address | 10,GOALO PARA LANE SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||