Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08170 | Date 29/04/2020 |
| Token No | SM/19-20/21710 29/04/2020 | Serial | 029 Last Visit: 29/04/2020 |
| Patient Name | Mr. BALAI CHANDRA SRIMANI | Contact No | 7003981425 |
| Address | 2/B/2 A. K. C BHATTACHARYA STREEI | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||