Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08925 | Date 03/11/2020 |
| Token No | SM/20-21/27081 03/11/2020 | Serial | 006 Last Visit: 28/04/2021 |
| Patient Name | Mr. SANTOSH PANDIT | Contact No | 9874208595 |
| Address | 42/A GODAR BAGAN , BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||