Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08562 | Date 20/07/2020 |
| Token No | SM/19-20/24245 20/07/2020 | Serial | 018 Last Visit: 27/07/2020 |
| Patient Name | Mr. DEB KUMAR BOSE | Contact No | 9674027539 |
| Address | 80 BARUI PARA LANE CHATRA SERAMPORE | Age | 36 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||