Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08950 | Date 09/11/2020 |
| Token No | SM/20-21/27352 09/11/2020 | Serial | 057 Last Visit: 09/11/2020 |
| Patient Name | Mr. SUROJIT MONDAL | Contact No | 8981402845 |
| Address | 132/1 RAM KRISHNA ROAD,BAIDYABATI(M) | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||