Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09034 | Date 07/12/2020 |
| Token No | SM/20-21/28206 07/12/2020 | Serial | 050 Last Visit: 07/12/2020 |
| Patient Name | Mr. RAJKUMAR CHOWDHURY | Contact No | 9007802971 |
| Address | 10 M G ROAD SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||