Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08228 | Date 06/05/2020 |
| Token No | SM/19-20/22196 13/05/2020 | Serial | 004 Last Visit: 13/05/2020 |
| Patient Name | Mr. SUKUMAR DEY | Contact No | 9836426280 |
| Address | 5 VIVEKANANDA LANE | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||