Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08786 | Date 26/09/2020 |
| Token No | SM/20-21/26063 26/09/2020 | Serial | 020 Last Visit: 26/09/2020 |
| Patient Name | Mr. TAPASH SANTRA | Contact No | 9748753376 |
| Address | BANGIHATI SERAMPORE HOOGHLY | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||