Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08798 | Date 30/09/2020 |
| Token No | SM/20-21/27697 24/11/2020 | Serial | 016 Last Visit: 24/11/2020 |
| Patient Name | Mr. GOPAL SHAW | Contact No | 8420016401 |
| Address | 49 LAL BHADUR SHASTRI ROAD SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||