Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 08848 | Date 12/10/2020 |
| Token No | SM/20-21/26557 12/10/2020 | Serial | 052 Last Visit: 04/12/2020 |
| Patient Name | Mr. BHOLANATH SHAW | Contact No | 7449959627 |
| Address | 247/A CHARABAGAN BARUIPARA, BAIDYABATI(M) | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||