Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08439 | Date 27/06/2020 |
| Token No | SM/19-20/23487 27/06/2020 | Serial | 015 Last Visit: 27/06/2020 |
| Patient Name | Mr. SK ISRAIL | Contact No | 9831167459 |
| Address | 7/A ARBINDA SARANI CHATRA SERAMPORE | Age | 73 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||