Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08808 | Date 01/10/2020 |
| Token No | SM/20-21/26220 01/10/2020 | Serial | 046 Last Visit: 01/10/2020 |
| Patient Name | Mr. SANKAR NATH PAL | Contact No | 9433147879 |
| Address | 39 A 4 ROY M. C. LAHIRI BAHADUR STREET | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||