Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08582 | Date 23/07/2020 |
| Token No | SM/19-20/24383 23/07/2020 | Serial | 032 Last Visit: 23/07/2020 |
| Patient Name | Mr. DEBABROTA DUTTA | Contact No | 9903672828 |
| Address | 64/26 GODAR BAGAN BAIDYABATI(M) | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||