Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05380 | Date 11/06/2019 |
| Token No | SM/19-20/4997 21/06/2019 | Serial | 023 Last Visit: 21/06/2019 |
| Patient Name | Mr. DASHARATH MAJHI | Contact No | 9007981225 |
| Address | MALPARA LANE NEAR CHOTO MASHID SERAMPORE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||