Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04376 | Date 25/03/2019 |
| Token No | SM/18-19/11174 25/03/2019 | Serial | 094 Last Visit: 28/05/2019 |
| Patient Name | Mr. BIJAY GHOSH | Contact No | 8017245194 |
| Address | 15 N.N ROY STREET SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||