Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06004 | Date 30/07/2019 |
| Token No | SM/20-21/26278 05/10/2020 | Serial | 014 Last Visit: 05/10/2020 |
| Patient Name | Mr. TANOY PAL | Contact No | 6289531326 |
| Address | 13/A KUMOR PARA SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||