Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08727 | Date 10/09/2020 |
| Token No | SM/19-20/25613 10/09/2020 | Serial | 051 Last Visit: 10/09/2020 |
| Patient Name | Mr. GANDICHARAN PAL | Contact No | 9681735448 |
| Address | 88 (38) SATCHASI PARA CHATRA SERAMPORE | Age | 76 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||