Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09250 | Date 27/02/2021 |
| Token No | SM/20-21/30173 27/02/2021 | Serial | 020 Last Visit: 27/02/2021 |
| Patient Name | Mr. MADHUSUDAN KABI | Contact No | 8013394529 |
| Address | 23/A P.N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||