Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08323 | Date 09/06/2020 |
| Token No | SM/19-20/22894 09/06/2020 | Serial | 024 Last Visit: 09/06/2020 |
| Patient Name | Mr. KHOKAN DALAL | Contact No | 9836237256 |
| Address | 73/2/1 SACHTASHI PARA CHATRA LANKAR BAGAN , BAIDYABATI(M) | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||