Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08647 | Date 18/08/2020 |
| Token No | SM/19-20/24960 18/08/2020 | Serial | 024 Last Visit: 18/08/2020 |
| Patient Name | Mr. HARADHAN GHOSH | Contact No | 9674427573 |
| Address | CHANDRADIP UGARDAHA BARUIPARA | Age | 82 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||