Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08382 | Date 18/06/2020 |
| Token No | SM/20-21/27318 09/11/2020 | Serial | 023 Last Visit: 09/11/2020 |
| Patient Name | Mr. SHIBNARAYAN KUNDU | Contact No | 8013944168 |
| Address | 1/E SASHIBHUSHAN GHOSH LANE SERAMPORE MAHESH | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||