Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04227 | Date 15/03/2019 |
| Token No | SM/18-19/10576 15/03/2019 | Serial | 069 Last Visit: 30/04/2019 |
| Patient Name | Mr. AMIT CHOWDHURY | Contact No | 9875366291 |
| Address | 7/A ROY MC LAHIRI STREET SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||