Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08240 | Date 09/05/2020 |
| Token No | SM/19-20/22088 09/05/2020 | Serial | 033 Last Visit: 09/05/2020 |
| Patient Name | Mr. GOPAL KRISHNA DUTTA | Contact No | |
| Address | SDO BUNGALOW, SERAMPORE HOOGHLY | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||