Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08736 | Date 12/09/2020 |
| Token No | SM/20-21/26171 30/09/2020 | Serial | 025 Last Visit: 07/10/2020 |
| Patient Name | Mr. RAMJEE SHAW | Contact No | 8910936678 |
| Address | 22 L B S ROAD SERAMPORE | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||