Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01337 | Date 25/09/2018 |
| Token No | SM/18-19/2067 25/09/2018 | Serial | 049 Last Visit: 25/09/2018 |
| Patient Name | Mr. SANKAR SINGH | Contact No | |
| Address | 1/C G T ROAD SERAMPORE HOOGHLY | Age | 56 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||