Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08483 | Date 06/07/2020 |
| Token No | SM/19-20/23784 06/07/2020 | Serial | 026 Last Visit: 17/08/2020 |
| Patient Name | Mr. ARUN KUMAR DAS | Contact No | 9883120119 |
| Address | 70/C/3 PATUA PARA LANE SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||