Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08762 | Date 21/09/2020 |
| Token No | SM/20-21/26542 12/10/2020 | Serial | 037 Last Visit: 12/10/2020 |
| Patient Name | Mr. ARBINDA PRASAD SHAW | Contact No | 6289353418 |
| Address | 61/1/A SRI KRISHNA NAGAR RISHRA SERAMPORE(M) | Age | 54 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||