Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08097 | Date 17/04/2020 |
| Token No | SM/20-21/26524 12/10/2020 | Serial | 019 Last Visit: 12/10/2020 |
| Patient Name | Mr. MINTU BHATTACHARYA | Contact No | 9836979585 |
| Address | 19 BHADURI LANE CHATRA SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||