Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08563 | Date 20/07/2020 |
| Token No | SM/19-20/24246 20/07/2020 | Serial | 019 Last Visit: 20/07/2020 |
| Patient Name | Mr. ROMIT GUIN | Contact No | 7278885601 |
| Address | 1/1 B, DUTTA PARA LANE CHATRA SERAMPORE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||