Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08572 | Date 21/07/2020 |
| Token No | SM/19-20/24301 21/07/2020 | Serial | 016 Last Visit: 21/07/2020 |
| Patient Name | Mr. SANDIP DAS | Contact No | 9830802450 |
| Address | 70 NETAJI SUBHASH AVENUE SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||