Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08909 | Date 28/10/2020 |
| Token No | SM/20-21/26957 28/10/2020 | Serial | 011 Last Visit: 28/10/2020 |
| Patient Name | Mr. JANARDHAN SING | Contact No | 8420908120 |
| Address | 3 SOUTH KABIN,KHALBARI ROAD,KOLKATA | Age | 50 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||