Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06670 | Date 17/10/2019 |
| Token No | SM/20-21/27603 18/11/2020 | Serial | 025 Last Visit: 18/11/2020 |
| Patient Name | Mr. SK SAKIR | Contact No | 6289808440 |
| Address | 21 CHATRA KANHAI DEWANTALA LANE , SERAMPORE | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||