Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08204 | Date 04/05/2020 |
| Token No | SM/19-20/21872 04/05/2020 | Serial | 016 Last Visit: 12/05/2020 |
| Patient Name | Mr. MUKUL SENGUPTA | Contact No | 7278191907 |
| Address | 31 KUMIR JALA ROAD | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||