Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08343 | Date 12/06/2020 |
| Token No | SM/19-20/23033 12/06/2020 | Serial | 039 Last Visit: 12/06/2020 |
| Patient Name | Mr. SOUMEN MONDAL | Contact No | 9748254511 |
| Address | MARADAN PAMPA NAGAR , BAIDYABATI (M) | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||