Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08299 | Date 02/06/2020 |
| Token No | SM/19-20/22657 02/06/2020 | Serial | 006 Last Visit: 02/06/2020 |
| Patient Name | Mr. JOY KUMAR SINGH | Contact No | 6290957725 |
| Address | 42/A BARA BAGAN LANE SERAMPORE , MALLICKPARA | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||