Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08988 | Date 24/11/2020 |
| Token No | SM/20-21/27986 02/12/2020 | Serial | 001 Last Visit: 16/12/2020 |
| Patient Name | Mr. SANAT KMAR PARUI | Contact No | 9830896846 |
| Address | 27 A P GHOSH ROAD, SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||