Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08810 | Date 03/10/2020 |
| Token No | SM/20-21/26233 03/10/2020 | Serial | 009 Last Visit: 03/10/2020 |
| Patient Name | Mr. PRADIP DAS | Contact No | 9123855231 |
| Address | 15 CHTARA CHOWDHURY PARA SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||