Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09009 | Date 01/12/2020 |
| Token No | SM/20-21/27949 01/12/2020 | Serial | 051 Last Visit: 01/12/2020 |
| Patient Name | Mr. ARUN PATRA | Contact No | 9748286736 |
| Address | PASCHIM BARUIPARA SERAMPORE, BARUIPARAPALTAGARH SINGUR | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||