Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03640 | Date 18/02/2019 |
| Token No | SM/18-19/10265 09/03/2019 | Serial | 056 Last Visit: 09/03/2019 |
| Patient Name | Mr. SATYENDER ROY | Contact No | |
| Address | BAISANAV PARA 1ST LANE SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||