Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08042 | Date 08/04/2020 |
| Token No | SM/19-20/21978 06/05/2020 | Serial | 003 Last Visit: 16/05/2020 |
| Patient Name | Mr. SIB SANKAR KANDU | Contact No | 9836426280 |
| Address | 76 NO A.P. GHOSH ROAD | Age | 51YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||