Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08237 | Date 09/05/2020 |
| Token No | SM/19-20/22064 09/05/2020 | Serial | 009 Last Visit: 09/05/2020 |
| Patient Name | Mr. NIKHIL DUTTA | Contact No | 8583924397 |
| Address | 61/1 CHATRA SHITLATALA SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||