Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08665 | Date 25/08/2020 |
| Token No | SM/19-20/25125 25/08/2020 | Serial | 005 Last Visit: 25/08/2020 |
| Patient Name | Mr. SHYAMAL KUMAR BAGCHI | Contact No | 9830192197 |
| Address | 18 H.M GOSWAMI STREET | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||