Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 08621 | Date 04/08/2020 |
| Token No | SM/19-20/24696 04/08/2020 | Serial | 006 Last Visit: 04/08/2020 |
| Patient Name | Mr. LAKSHMI KANTA MONDAL | Contact No | 8902903277 |
| Address | 48/G, B.P 2ND LANE MAHESH SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||