Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08257 | Date 15/05/2020 |
| Token No | SM/19-20/22245 15/05/2020 | Serial | 012 Last Visit: 15/05/2020 |
| Patient Name | Mr. PHANDU KOLEY | Contact No | 9143222973 |
| Address | PAHALAMPUR, DIARA, SINGUR | Age | 55 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||