Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08560 | Date 18/07/2020 |
| Token No | SM/19-20/24212 18/07/2020 | Serial | 013 Last Visit: 18/07/2020 |
| Patient Name | Mr. KARTIK SHA | Contact No | 8100260858 |
| Address | 27/A BAZAR BYE LANE SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||