Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04357 | Date 25/03/2019 |
| Token No | SM/18-19/11095 25/03/2019 | Serial | 015 Last Visit: 25/03/2019 |
| Patient Name | Mr. SUNIL MONDAL | Contact No | 9674293779 |
| Address | 10, M.G ROAD SERAMPORE | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||