Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08444 | Date 29/06/2020 |
| Token No | SM/19-20/23512 29/06/2020 | Serial | 020 Last Visit: 29/06/2020 |
| Patient Name | Mr. AVISHEK BANERJEE | Contact No | 9748120530 |
| Address | 16NO K.K.MUKHERJEE SARANI SERAMPORE M | Age | 25 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||