Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08600 | Date 30/07/2020 |
| Token No | SM/19-20/24592 30/07/2020 | Serial | 002 Last Visit: 30/07/2020 |
| Patient Name | Mr. RANJIT DAS | Contact No | 8777796089 |
| Address | GHORAMARA MALLICKPARA, SERAMPORE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||