Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08583 | Date 24/07/2020 |
| Token No | SM/19-20/24384 24/07/2020 | Serial | 001 Last Visit: 24/07/2020 |
| Patient Name | Mr. GOPAL DAS | Contact No | 8478092629 |
| Address | 208 RAJYADHARPUR GOVT. COLONY SERAMPORE MALLICKPARA | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||