Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08985 | Date 23/11/2020 |
| Token No | SM/20-21/27667 23/11/2020 | Serial | 035 Last Visit: 23/11/2020 |
| Patient Name | Mr. SPANDAN BASU | Contact No | 8240347184 |
| Address | 4 BARA BAGAN LANE BAHIR SERAMPORE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||