Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08157 | Date 27/04/2020 |
| Token No | SM/19-20/21630 27/04/2020 | Serial | 057 Last Visit: 27/04/2020 |
| Patient Name | Mr. SUJIT SHEE | Contact No | 8620846145 |
| Address | 45 CHATRA BARUIPARA SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||