Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08670 | Date 26/08/2020 |
| Token No | SM/19-20/25197 26/08/2020 | Serial | 007 Last Visit: 26/08/2020 |
| Patient Name | Mr. MADAN ASH | Contact No | |
| Address | GODAR BAGAN, SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||