Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08309 | Date 05/06/2020 |
| Token No | SM/19-20/22771 05/06/2020 | Serial | 010 Last Visit: 05/06/2020 |
| Patient Name | Mr. AJIT SINGHA | Contact No | |
| Address | 18/2/A BARA BAGAN LANE SERAMPORE , MALLICKPARA | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||