Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07995 | Date 02/04/2020 |
| Token No | SM/19-20/21232 16/04/2020 | Serial | 074 Last Visit: 13/05/2020 |
| Patient Name | Mr. SUSHANTA MONDAL | Contact No | 8336953436 |
| Address | 31/A BARA BAGAN LANE | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||