Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08877 | Date 15/10/2020 |
| Token No | SM/20-21/26700 15/10/2020 | Serial | 043 Last Visit: 15/10/2020 |
| Patient Name | Mr. DEBASISH BISWAS | Contact No | 9073734114 |
| Address | 21 ROY GHAT LANE SERAMPORE | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||