Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01820 | Date 01/11/2018 |
| Token No | SM/18-19/3509 05/11/2018 | Serial | 069 Last Visit: 05/11/2018 |
| Patient Name | Mr. SANJIB BISWAS | Contact No | 9681955864 |
| Address | 19, ROY GHAT LANE SERAMPORE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||