Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08393 | Date 19/06/2020 |
| Token No | SM/19-20/23261 19/06/2020 | Serial | 024 Last Visit: 19/06/2020 |
| Patient Name | Mr. DIPAK KUMAR KAR | Contact No | 8100688777 |
| Address | 23/A THAKUR DAS BABU LANE , SERAMPORE | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||