Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08318 | Date 08/06/2020 |
| Token No | SM/19-20/22860 08/06/2020 | Serial | 039 Last Visit: 15/06/2020 |
| Patient Name | Mr. SUKDEB PAUL | Contact No | 8013283433 |
| Address | 15/45 LENIN SARANI SERAMPORE MALLICKPARA | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||