Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06094 | Date 09/08/2019 |
| Token No | SM/20-21/26660 15/10/2020 | Serial | 003 Last Visit: 15/10/2020 |
| Patient Name | Mr. SOURABH DAS | Contact No | 9038435220 |
| Address | 65 SATCHASI PARA SERAMPORE , BAIDYBATI( M) | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||