Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08686 | Date 02/09/2020 |
| Token No | SM/20-21/25853 21/09/2020 | Serial | 003 Last Visit: 16/12/2020 |
| Patient Name | Mr. KAILASH DAS | Contact No | 8420350069 |
| Address | JOGIPARA TEMATHA CHANDANNAGAR -712136 | Age | 65 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | 135/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||