Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04154 | Date 11/03/2019 |
| Token No | SM/18-19/10345 11/03/2019 | Serial | 054 Last Visit: 06/06/2019 |
| Patient Name | Mr. SAMAR SAHA | Contact No | 8017728233 |
| Address | 20 RAY GHAT LANE SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||