Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08771 | Date 23/09/2020 |
| Token No | SM/20-21/25970 23/09/2020 | Serial | 014 Last Visit: 23/09/2020 |
| Patient Name | Mr. PRASHANTA CHOWDHURY | Contact No | 7044575104 |
| Address | 23B CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||