Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08875 | Date 15/10/2020 |
| Token No | SM/20-21/26885 21/10/2020 | Serial | 015 Last Visit: 21/10/2020 |
| Patient Name | Mr. TAPASH GHOSH | Contact No | 6289895192 |
| Address | 33 R M C LAHIRI BAHADUR STREET | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||