Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08441 | Date 29/06/2020 |
| Token No | SM/19-20/23495 29/06/2020 | Serial | 003 Last Visit: 02/07/2020 |
| Patient Name | Mr. SHAW SAMIR | Contact No | 9062338459 |
| Address | 102,RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||