Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08937 | Date 05/11/2020 |
| Token No | SM/20-21/27193 05/11/2020 | Serial | 054 Last Visit: 05/11/2020 |
| Patient Name | Mr. RAJESH PANDIT | Contact No | 9123890384 |
| Address | 60 NEW MAHESH SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||