Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08738 | Date 15/09/2020 |
| Token No | SM/20-21/25679 15/09/2020 | Serial | 004 Last Visit: 15/09/2020 |
| Patient Name | Mr. SUDIP DAS | Contact No | 9875458554 |
| Address | 34 PATIPARA CHATRA SERAMPORE , BAIDYABATI(M) | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||