Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08976 | Date 18/11/2020 |
| Token No | SM/20-21/27586 18/11/2020 | Serial | 008 Last Visit: 18/11/2020 |
| Patient Name | Mr. DILIP RAY | Contact No | 9477563731 |
| Address | 36 BHADURI LANE SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||