Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08366 | Date 17/06/2020 |
| Token No | SM/19-20/23187 17/06/2020 | Serial | 018 Last Visit: 17/06/2020 |
| Patient Name | Mr. SAMBHU NATH MAJHI | Contact No | 9674307279 |
| Address | 59 BARA BAGAN LANE MALLICKPARA , SERAMPORE | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||