Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06928 | Date 20/11/2019 |
| Token No | SM/20-21/26626 13/10/2020 | Serial | 043 Last Visit: 13/10/2020 |
| Patient Name | Mr. SWAPAN DAS | Contact No | 9830962910 |
| Address | BENIA PARA LANE, SERAMPORE | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||