Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08183 | Date 30/04/2020 |
| Token No | SM/20-21/27278 07/11/2020 | Serial | 011 Last Visit: 07/11/2020 |
| Patient Name | Mr. MADHUSUDAN DEY | Contact No | 9836594613 |
| Address | 3/168 MAHESH COLONY | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||