Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08977 | Date 18/11/2020 |
| Token No | SM/20-21/27588 18/11/2020 | Serial | 010 Last Visit: 18/11/2020 |
| Patient Name | Mr. SABYASACHI LODH | Contact No | 6291329985 |
| Address | 23/A SANI PARA LANE SERAMPORE | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||