Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08898 | Date 19/10/2020 |
| Token No | SM/20-21/26835 19/10/2020 | Serial | 046 Last Visit: 19/10/2020 |
| Patient Name | Mr. DEBASISH DAS | Contact No | 9088669713 |
| Address | 114/26/11A/3 GHOSALPARA 1 SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||