Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01838 | Date 01/11/2018 |
| Token No | SM/18-19/3304 01/11/2018 | Serial | 053 Last Visit: 02/12/2019 |
| Patient Name | Mr. BISWAJIT PAL | Contact No | 9339062792 |
| Address | 51 CHATRA DHARMATALA LANE, SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||