Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09199 | Date 21/01/2021 |
| Token No | SM/20-21/29617 21/01/2021 | Serial | 037 Last Visit: 21/01/2021 |
| Patient Name | Mr. RABINDRANATH GOSWAMI | Contact No | 8777366139 |
| Address | 19 BHADURI LANE GR FLOOR CHATRA SERAMPORE | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||