Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08760 | Date 21/09/2020 |
| Token No | SM/20-21/25877 21/09/2020 | Serial | 027 Last Visit: 21/09/2020 |
| Patient Name | Mr. SOURIK GHOSH | Contact No | 9432208449 |
| Address | 1 NO DUTTA PARA LANE CHATRA SERAMPORE | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||