Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08986 | Date 23/11/2020 |
| Token No | SM/20-21/27671 23/11/2020 | Serial | 039 Last Visit: 23/11/2020 |
| Patient Name | Mr. SK AMBAR | Contact No | 9903108437 |
| Address | 29 A K DUTTA SARANI CHATRA BAZAR ROAD SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||