Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05358 | Date 08/06/2019 |
| Token No | SM/19-20/4176 08/06/2019 | Serial | 024 Last Visit: 08/06/2019 |
| Patient Name | Mr. ATANU PAUL | Contact No | 6290411991 |
| Address | 140/176 CHATRA TETULTALA BAZAR SERAMPORE | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||