Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08932 | Date 05/11/2020 |
| Token No | SM/20-21/27366 10/11/2020 | Serial | 007 Last Visit: 03/12/2020 |
| Patient Name | Mr. PRASANTA GHOSH | Contact No | 7003937877 |
| Address | 8A NO. A. P. GHOSH ROAD CHATRA SERAMPORE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||