Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08325 | Date 09/06/2020 |
| Token No | SM/19-20/22915 09/06/2020 | Serial | 045 Last Visit: 09/06/2020 |
| Patient Name | Mr. BANSHI PAKIRA | Contact No | 9874765459 |
| Address | 55 CHATRA DHARMOTALA SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||