Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08974 | Date 13/11/2020 |
| Token No | SM/20-21/27568 13/11/2020 | Serial | 026 Last Visit: 13/11/2020 |
| Patient Name | Mr. SANJOY DAS | Contact No | 9007772371 |
| Address | 212 TELIPARA BAGHER BAGAN,BAIDYABATI(M) | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||