Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08014 | Date 04/04/2020 |
| Token No | SM/20-21/26497 10/10/2020 | Serial | 014 Last Visit: 10/10/2020 |
| Patient Name | Mr. RATHIN PAUL | Contact No | 9874258793 |
| Address | 4 P. C.DAS LANE CHATRA SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||