Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07515 | Date 12/02/2020 |
| Token No | SM/19-20/21628 27/04/2020 | Serial | 055 Last Visit: 27/04/2020 |
| Patient Name | Mr. KARTIK DHARA | Contact No | |
| Address | 21/A BARA BAGAN LANE SERAMPORE MALLICKPARA | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||