Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00389 | Date 13/08/2018 |
| Token No | SM/20-21/27684 24/11/2020 | Serial | 003 Last Visit: 24/11/2020 |
| Patient Name | Mr. SANJIB GHOSH | Contact No | 9903162174 |
| Address | 31A/1, CHATRA CHOWDHURY PARA, SERAMPORE | Age | 42.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||