Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07002 | Date 27/11/2019 |
| Token No | SM/20-21/28960 31/12/2020 | Serial | 042 Last Visit: 31/12/2020 |
| Patient Name | Mr. DEBNATH DEY | Contact No | 9836518176 |
| Address | 8 GOYALA PARA LANE | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||