Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08148 | Date 25/04/2020 |
| Token No | SM/19-20/21565 25/04/2020 | Serial | 017 Last Visit: 25/04/2020 |
| Patient Name | Mr. SUBRATA SANTRA | Contact No | 9231856162 |
| Address | 12 KALITALA LANE,BAIDYABATI(M) | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||