Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08708 | Date 04/09/2020 |
| Token No | SM/19-20/25469 04/09/2020 | Serial | 040 Last Visit: 04/09/2020 |
| Patient Name | Mr. SUBHASH CHANDRA DALUI | Contact No | 7278114058 |
| Address | 13 N N ROY STREET SERAMPORE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||