Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09008 | Date 01/12/2020 |
| Token No | SM/20-21/27947 01/12/2020 | Serial | 049 Last Visit: 01/12/2020 |
| Patient Name | Mr. SHANKAR GANGAPUTRA | Contact No | 9674154955 |
| Address | 84 A. P. GHOSH ROAD CHATRA SERAMPORE | Age | 51 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||