Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08952 | Date 09/11/2020 |
| Token No | SM/20-21/27359 09/11/2020 | Serial | 064 Last Visit: 09/11/2020 |
| Patient Name | Mr. SUMIT NAG | Contact No | 9875554877 |
| Address | 1/A BHAGIRATHI LANE, MAHESH, SERAMPORE | Age | 23 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||