Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01424 | Date 29/09/2018 |
| Token No | SM/18-19/2252 29/09/2018 | Serial | 040 Last Visit: 29/09/2018 |
| Patient Name | Mr. BIKESH KR SHAW | Contact No | 9804209506 |
| Address | 10, M.G ROAD SERAMPORE HOOGHLY | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||