Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04479 | Date 30/03/2019 |
| Token No | SM/18-19/11630 30/03/2019 | Serial | 045 Last Visit: 30/03/2019 |
| Patient Name | Mr. PRADIP BHATTACHARYA | Contact No | 8420887276 |
| Address | 29 GT ROAD SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||