Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08936 | Date 05/11/2020 |
| Token No | SM/20-21/27192 05/11/2020 | Serial | 053 Last Visit: 05/11/2020 |
| Patient Name | Mr. TARAK YADAV | Contact No | 8443870031 |
| Address | 126 NEW MAHESH BINOD BIHARI GHOSH ROAD SERAMPORE, MALLICKPARA | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||