Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08465 | Date 02/07/2020 |
| Token No | SM/19-20/24178 17/07/2020 | Serial | 029 Last Visit: 17/07/2020 |
| Patient Name | Mr. SK SAHJAHAN | Contact No | 6291346812 |
| Address | 7/D ARBINDA SARANI CHATRA SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||